Individual
AMANDA ELIZABETH REISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
2242 S TELEGRAPH RD STE 209, BLOOMFIELD HILLS, MI 48302-0218
(248) 346-6145
Mailing address
2801 MASEFIELD DR, BLOOMFIELD HILLS, MI 48304-1948
(346) 346-6145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022481
MI
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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