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Michelle Marie Liss Gaits
Mental Health Counselor in Detroit, Michigan
NPI 1619443967

Michelle Marie Liss Gaits is a Mental Health Counselor based in Livonia, MI and is specialized in Mental Health. Michelle Marie Liss Gaits practices in Detroit, MI. The NPI Number for Michelle Marie Liss Gaits is 1619443967 and holds a License No. (Michigan).

The current practice location address for Michelle Marie Liss Gaits is 79 W Alexandrine St, Detroit, MI and can be reached out via phone at 313-320-3958.

Location: 79 W Alexandrine St, Detroit, MI, 48152-2522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619443967
Provider Name
Michelle Marie Liss Gaits
Credential
Provider Entity Type
Individual
Gender
Female
Address
79 W Alexandrine St, Detroit, MI, 48152-2522
Phone Number
313-320-3958
Fax Number
Provider Enumeration Date
10/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154742997 05 MI
institution
Provider Business Practice Location Address Details
Address
79 W Alexandrine St
City
Detroit
State
Michigan
Zip
48201-2015
Phone Number
313-320-3958
Fax Number
person
Provider Business Mailing Address Details
Address
79 W Alexandrine St
City
Detroit
State
Michigan
Zip
48201-2015
Phone Number
313-320-3958
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Michigan)
Definition
Definition to come...
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