Organization
1 ON 1 PROFESSIONAL COUNSELING SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN HAYES LPC (MA, LPC, NCC)
(313) 909-7080
Entity
Organization
Contact information
Practice address
8965 GRIGGS ST, DETROIT, MI 48204-2643
(313) 909-7080
Mailing address
8965 GRIGGS ST, DETROIT, MI 48204-2643
(313) 909-7080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952695504
—
MI
Enumeration date
06/10/2016
Last updated
06/10/2016
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