Individual
AUDREY HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N ROSE ST STE 100, MOUNT CLEMENS, MI 48043-1522
(313) 506-1958
Mailing address
52351 WALNUT DR, CHESTERFIELD, MI 48047-4550
(313) 506-1958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1118
WY
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401222519
MI
Other
Enumeration date
09/03/2015
Last updated
08/29/2024
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