Individual
REBECCA MATRANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
14500 N SHELDON RD # 160B, PLYMOUTH, MI 48170-2597
(248) 346-6076
Mailing address
9865 HIGH MEADOW DR, YPSILANTI, MI 48198-3285
(248) 346-6076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
6401011642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
05/13/2009
Last updated
03/29/2022
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