Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6401010395 | MI |
NPI | 1003082355 |
---|---|
Provider Name | Mrs. Michelle Brown |
First Address | Sterling Heights, MI 48310-7143 |
Second Address | Sterling Heights, MI 48310-7143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 07/05/2008 |