person
Ms. Judith M Booker, LPC
Professional Counselor in Detroit, Michigan
NPI 1669583076

Judith M Booker is a Professional Counselor based in Detroit, MI and is specialized in Professional. Judith M Booker practices in Detroit, MI and has the professional credentials of LPC. The NPI Number for Judith M Booker is 1669583076 and holds a License No. 6401002192 (Michigan).

The current practice location address for Judith M Booker is 2051 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-961-3700 and via fax at 313-961-3769.

Location: 2051 W Grand Blvd, Detroit, MI, 48208-1105
person
Provider Profile Details
NPI Number
1669583076
Provider Name
Judith M Booker
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2051 W Grand Blvd, Detroit, MI, 48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401002192 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2051 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider Business Mailing Address Details
Address
2051 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401002192 (Michigan)
Definition
Definition to come...
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