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Mr. Jeffrey Granger Hendricks
Professional Counselor in Detroit, Michigan
NPI 1598017030

Jeffrey Granger Hendricks is a Professional Counselor based in Detroit, MI and is specialized in Professional. Jeffrey Granger Hendricks practices in Detroit, MI. The NPI Number for Jeffrey Granger Hendricks is 1598017030 and holds a License No. 6401003783 (Michigan).

The current practice location address for Jeffrey Granger Hendricks is 5450 W Outer Dr, Detroit, MI and can be reached out via phone at 313-861-8515 and via fax at 313-341-9801.

Location: 5450 W Outer Dr, Detroit, MI, 48235-1485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598017030
Provider Name
Jeffrey Granger Hendricks
Credential
Provider Entity Type
Individual
Gender
Male
Address
5450 W Outer Dr, Detroit, MI, 48235-1485
Phone Number
313-861-8515
Fax Number
313-341-9801
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5450 W Outer Dr
City
Detroit
State
Michigan
Zip
48235-1485
Phone Number
313-861-8515
Fax Number
313-341-9801
person
Provider Business Mailing Address Details
Address
5450 W Outer Dr
City
Detroit
State
Michigan
Zip
48235-1485
Phone Number
313-861-8515
Fax Number
313-341-9801
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401003783 (Michigan)
Definition
Definition to come...
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