Individual
MS. HANA SURRIYAH CHEATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
901 CHIPPEWA ST, FLINT, MI 48503-1570
(810) 232-9950
(810) 232-7599
Mailing address
2125 BONBRIGHT ST, FLINT, MI 48505-4661
(810) 249-8163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008965
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002947
HEALTH PLUS OF MICH
MI
01
—
2295220
CONNECTICUT GENERAL
MI
Enumeration date
09/03/2006
Last updated
07/08/2007
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