| Canyon Integrative Health And Wellness | |
|
3716 Newberry St Wayne MI 48184-2298 | |
| (586) 277-3752 | |
| Not Available |
| Full Name | Canyon Integrative Health And Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3716 Newberry St, Wayne, Michigan |
| Authorized Official Name and Position | Tatiana Canyon (CLINICAL THERAPIST) |
| Authorized Official Contact | 5862773752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Integrative Health And Wellness Po Box 384 Wayne MI 48184-0384 Ph: (586) 277-3752 | Canyon Integrative Health And Wellness 3716 Newberry St Wayne MI 48184-2298 Ph: (586) 277-3752 |
| NPI Number | 1164182101 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164182101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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