Individual
MR. JASON MICHAEL ELDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CRC
Contact information
Practice address
42500 HAYES RD STE 500, CLINTON TOWNSHIP, MI 48038-6768
(586) 828-1221
Mailing address
1204 BEDFORD RD, GROSSE POINTE PARK, MI 48230-1116
(586) 335-1217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2017
Last updated
10/13/2022
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