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Individual

MS. AYANA N. TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(888) 813-8326
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(888) 813-8326

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007227
MI
101YM0800X
Mental Health Counselor
Primary
6401007227
MI
106H00000X
Marriage & Family Therapist
6401007227
MI

Other

Enumeration date
07/13/2012
Last updated
06/23/2025
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