Individual
MISTY JEAN DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP, DP-C
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
05/04/2022
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