Individual
FAN ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
1777 AXTELL DR, SUITE 100, TROY, MI 48084-4404
(248) 613-5377
Mailing address
2851 THEDFORD RD, BLOOMFIELD HILLS, MI 48304-2059
(248) 635-9278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014735
MI
101YM0800X
Mental Health Counselor
6401014735
MI
Other
Enumeration date
03/25/2015
Last updated
03/21/2023
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