Individual
JOHN PHONG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, SCL, LLPC, NCC
Contact information
Practice address
3138 HILTON RD, FERNDALE, MI 48220-1039
(248) 232-2555
Mailing address
44548 BAYVIEW AVE APT 26112, CLINTON TOWNSHIP, MI 48038-7358
(586) 946-1358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017606
MI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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