Individual
CHARISSE MONIQUE STAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,MED,LPC, NCC
Contact information
Practice address
30050 FOREST DR, FRANKLIN, MI 48025-1575
(248) 916-7869
Mailing address
30050 FOREST DR, FRANKLIN, MI 48025-1575
(248) 916-7869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401223576
MI
Other
Enumeration date
11/30/2017
Last updated
10/18/2023
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