| Wendy Dittrich Croll, Ma, Lpc, Llc | |
|
28475 Greenfield Rd Ste 113 Southfield MI 48076-3034 | |
| (810) 360-7337 | |
| Not Available |
| Full Name | Wendy Dittrich Croll, Ma, Lpc, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 28475 Greenfield Rd Ste 113, Southfield, Michigan |
| Authorized Official Name and Position | Wendy Dittrich Croll (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8103607337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Dittrich Croll, Ma, Lpc, Llc 28475 Greenfield Rd Ste 113 Southfield MI 48076-3034 Ph: () - | Wendy Dittrich Croll, Ma, Lpc, Llc 28475 Greenfield Rd Ste 113 Southfield MI 48076-3034 Ph: (810) 360-7337 |
| NPI Number | 1487279410 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487279410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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