Individual
BRENDA BARILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(131) 374-5023
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801058929
MI
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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