Individual
DEMETRIA AGHARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
286 REGAL CT, ROSELLE, IL 60172-4714
(313) 377-7456
Mailing address
286 REGAL CT, ROSELLE, IL 60172-4714
(313) 377-7456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013625
MI
101YM0800X
Mental Health Counselor
6401013625
MI
101YP2500X
Professional Counselor
Primary
6401013625
MI
Other
Enumeration date
12/12/2016
Last updated
10/18/2023
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