Individual
MARIA BENCY VENGACHUVATTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5745 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4468
(248) 862-5110
Mailing address
42463 CANNON DR, STERLING HEIGHTS, MI 48313-2616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
11/13/2023
Last updated
10/18/2024
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