Individual
ELVITA KONDILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 PARKLANE BLVD STE 1210, DEARBORN, MI 48126-2400
(704) 208-3358
Mailing address
250 E HARBORTOWN DR APT 708, DETROIT, MI 48207-5011
(704) 776-0327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017573
MI
Other
Enumeration date
05/08/2007
Last updated
06/29/2022
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