Individual
ALLYSA FEARNOW-BAURHENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CADC
Contact information
Practice address
18 MARKET ST STE C, MOUNT CLEMENS, MI 48043-7403
(586) 783-2222
Mailing address
6800 E 10 MILE RD, CENTER LINE, MI 48015-1167
(586) 619-9986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801109347
MI
Other
Enumeration date
06/27/2014
Last updated
03/23/2022
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