Organization
ALYSSA JESSE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA JESSELAITIS LMSW (OWNER)
(586) 580-8135
Entity
Organization
Contact information
Practice address
950 E MAPLE RD STE L2, BIRMINGHAM, MI 48009-6482
(586) 580-8135
Mailing address
950 E MAPLE RD STE L2, BIRMINGHAM, MI 48009-6482
(586) 580-8135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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