Individual
JASMINE DIAMOND WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
17250 PATTON ST, DETROIT, MI 48219-4725
(248) 773-2363
Mailing address
17250 PATTON ST, DETROIT, MI 48219-4725
(248) 773-2363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023129
MI
Other
Enumeration date
06/23/2016
Last updated
10/02/2023
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