Individual
EITEDAL BASYOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30701 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-0987
(248) 288-9333
(248) 288-1362
Mailing address
30701 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-0987
(248) 288-9333
(248) 288-1362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401002100
MI
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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