Individual
AMENA RATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2122 15 MILE RD, SUITE B, STERLING HTS, MI 48310-4853
(586) 264-3692
(586) 939-5953
Mailing address
2122 15 MILE RD, SUITE B, STERLING HTS, MI 48310-4853
(586) 264-3692
(586) 939-5953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802083176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
897096
BCBS PIN
MI
Enumeration date
07/08/2006
Last updated
07/08/2007
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