Individual
MS. WENDY DEANNA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5555 CONNER ST STE 1038, DETROIT, MI 48213-3487
(313) 308-0255
(313) 308-0270
Mailing address
11763 MEADOWS CIR, VAN BUREN TWP, MI 48111-3186
(313) 627-6770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821120445
—
MI
Enumeration date
11/15/2018
Last updated
11/15/2018
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