Individual
QUANEECE CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(884) 296-2673
Mailing address
14383 WORMER, REDFORD, MI 48239-3357
(248) 719-9084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301016792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301016792
TLLP LICENSE NUMBER
MI
Enumeration date
08/29/2016
Last updated
08/29/2016
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