Individual
MRS. LORETTA MITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
19900 E 10 MILE RD, SUITE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 776-3366
Mailing address
791 TANGLEWOOD DR, MADISON HEIGHTS, MI 48071-2209
(248) 506-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301014832
MI
Other
Enumeration date
09/09/2011
Last updated
01/09/2014
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