Individual
MS. TAJANAE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
19353 SAN JUAN DR, DETROIT, MI 48221-1713
(313) 378-8418
Mailing address
19353 SAN JUAN DR, DETROIT, MI 48221-1713
(313) 378-8418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451019779
MI
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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