Individual
PATVELDA ONYEMAIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
Mailing address
1123 CENTER ST, INKSTER, MI 48141-1754
(313) 922-2222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015789
MI
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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