person
Deja Moore-grant, LLPC
Mental Health Counselor in Detroit, Michigan
NPI 1366165540

Deja Moore-grant is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Deja Moore-grant practices in Detroit, MI and has the professional credentials of LLPC. The NPI Number for Deja Moore-grant is 1366165540 and holds a License No. 6451022348 (Michigan).

The current practice location address for Deja Moore-grant is 2939 Russell St, Detroit, MI and can be reached out via phone at 313-396-5300.

Location: 2939 Russell St, Detroit, MI, 48216-2301
person
Provider Profile Details
NPI Number
1366165540
Provider Name
Deja Moore-grant
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
2939 Russell St, Detroit, MI, 48216-2301
Phone Number
313-396-5300
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2939 Russell St
City
State
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2939 Russell St
City
State
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6451022348 (Michigan)
Definition
Definition to come...
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