Individual
ELIZABETH JANELLE KANAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 292-7640
(313) 292-9270
Mailing address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 292-7640
(313) 292-9270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013636
MI
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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