Individual
MS. JANINE RENEE GUASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP LPC
Contact information
Practice address
8801 MAYFLOWER DRIVE, PLYMOUTH, MI 48170
(616) 856-8028
Mailing address
8801 MAYFLOWER DRIVE, PLYMOUTH, MI 48170
(616) 856-8028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401222858
MI
101YP2500X
Professional Counselor
6401222858
MI
103TC1900X
Counseling Psychologist
6361006058
MI
Other
Enumeration date
01/08/2014
Last updated
02/17/2025
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