Individual
MS. JO ELYN ENSROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29260 FRANKLIN RD, SUITE 120, SOUTHFIELD, MI 48034-1161
(248) 355-4300
Mailing address
20277 KENOSHA ST, HARPER WOODS, MI 48225-2245
(313) 332-0281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008718
MI
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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