Individual
JASON RYDZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223777
MI
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2021
Last updated
06/04/2024
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