Individual
MS. KATHLEEN HELEN WYSZACKI DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., B.A.
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 255-0900
Mailing address
21190 ANDOVER RD, SOUTHFIELD, MI 48076-3190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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