Individual
IBRAHIM ELIAS ATALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
37677 PROFESSIONAL CENTER DR, LIVONIA, MI 48154-1192
(248) 636-2281
Mailing address
37677 PROFESSIONAL CENTER DR, LIVONIA, MI 48154-1192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00165
MI
101YP2500X
Professional Counselor
Primary
6401006157
MI
101YS0200X
School Counselor
SC0000380
MI
Other
Enumeration date
03/26/2007
Last updated
03/19/2015
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