Individual
JODI LYNN CAROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC NCC
Contact information
Practice address
3150 LIVERNOIS RD STE 210, TROY, MI 48083-5039
(248) 495-8080
Mailing address
3150 LIVERNOIS RD STE 210, TROY, MI 48083-5039
(248) 495-8080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401008445
COUNSELING
MI
Enumeration date
10/09/2008
Last updated
10/09/2008
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