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Charnell Dortch
Mental Health Counselor in Detroit, Michigan
NPI 1437663655

Charnell Dortch is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Charnell Dortch practices in Detroit, MI. The NPI Number for Charnell Dortch is 1437663655 and holds a License No. 6401014696 (Michigan).

The current practice location address for Charnell Dortch is 16119 Fenmore St, Detroit, MI and can be reached out via phone at 313-247-8738.

Location: 16119 Fenmore St, Detroit, MI, 48235-3420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437663655
Provider Name
Charnell Dortch
Credential
Provider Entity Type
Individual
Gender
Female
Address
16119 Fenmore St, Detroit, MI, 48235-3420
Phone Number
313-247-8738
Fax Number
Provider Enumeration Date
11/27/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16119 Fenmore St
City
Detroit
State
Michigan
Zip
48235-3420
Phone Number
313-247-8738
Fax Number
person
Provider Business Mailing Address Details
Address
16119 Fenmore St
City
Detroit
State
Michigan
Zip
48235-3420
Phone Number
313-247-8738
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401014696 (Michigan)
Definition
Definition to come...
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