| 1 On 1 Professional Counseling Service Pllc | |
|
8965 Griggs St Detroit MI 48204-2643 | |
| (313) 909-7080 | |
| Not Available |
| Full Name | 1 On 1 Professional Counseling Service Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8965 Griggs St, Detroit, Michigan |
| Authorized Official Name and Position | Gwendolyn Hayes (MA, LPC, NCC) |
| Authorized Official Contact | 3139097080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 On 1 Professional Counseling Service Pllc 8965 Griggs St Detroit MI 48204-2643 Ph: (313) 909-7080 | 1 On 1 Professional Counseling Service Pllc 8965 Griggs St Detroit MI 48204-2643 Ph: (313) 909-7080 |
| NPI Number | 1851740732 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851740732 | NPI | - | NPPES |
| 1952695504 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011643 (Michigan) | Primary |
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