Individual
GRACE LYNN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 384-2289
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 384-2289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451006999
MI
101YM0800X
Mental Health Counselor
Primary
6451006999
MI
101YP2500X
Professional Counselor
6401006999
MI
Other
Enumeration date
09/09/2021
Last updated
09/10/2024
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