Individual
HOLLY GABANYICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
27780 NOVI RD STE 244, NOVI, MI 48377-3427
(248) 916-2855
Mailing address
1514 HARVEST LN, YPSILANTI, MI 48198-3317
(734) 221-0185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023502
MI
Other
Enumeration date
10/07/2019
Last updated
01/29/2024
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