Individual
MR. DAMON RENARD TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PROFESSIONA
Contact information
Practice address
22350 LUCERNE DRIVE, APT 201, SOUTHVILLE, MI 48075
(313) 433-1174
Mailing address
22350 LUCERNE DRIVE, APT 201, SOUTHFIEILD, MI 48075
(313) 433-1174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010711
MI
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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