Individual
MARISSA BLAIR WHITFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2888 E LONG LAKE RD, SUITE # 170, TROY, MI 48085-3793
(248) 462-9349
Mailing address
2888 E LONG LAKE RD, SUITE # 170, TROY, MI 48085-3793
(248) 462-9349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011977
MI
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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