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Individual

KATIE HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLPC

Contact information

Practice address
6420 YALE ST APT 2, WESTLAND, MI 48185-2180
(313) 258-9513
Mailing address
15730 VAUGHAN ST, DETROIT, MI 48223-1249
(313) 258-9513

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016976
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6401016976
MI
Enumeration date
11/29/2018
Last updated
11/29/2018
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