Individual
YVETTE K PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2140 E ELLSWORTH RD # 202C, ANN ARBOR, MI 48108-2552
(734) 458-4601
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 496-0403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6851109962
MI
101YM0800X
Mental Health Counselor
Primary
6851109962
MI
101YP2500X
Professional Counselor
6851109962
MI
Other
Enumeration date
12/16/2022
Last updated
01/23/2023
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