Individual
LEAH JO ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
888 W BIG BEAVER RD STE 1450, TROY, MI 48084-4762
(248) 244-8644
(248) 244-1330
Mailing address
2410 CHESLEY DR, STERLING HEIGHTS, MI 48310-4827
(248) 244-8644
(248) 244-1330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010007
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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