Individual
MR. JAMAL ORBANO FAIRCHILD EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, CAAC
Contact information
Practice address
21700 GREENFIELD RD, STE 130, OAK PARK, MI 48237-2581
(248) 967-4310
(248) 967-4301
Mailing address
21700 GREENFIELD RD, STE 130, OAK PARK, MI 48237-2581
(248) 967-4310
(248) 967-4301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401009027
MI
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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