person
Jasmine Diamond Wade, MA,LLPC
Professional Counselor in Detroit, Michigan
NPI 1841641511

Jasmine Diamond Wade is a Professional Counselor based in Detroit, MI and is specialized in Professional. Jasmine Diamond Wade practices in Detroit, MI and has the professional credentials of MA,LLPC. The NPI Number for Jasmine Diamond Wade is 1841641511 and holds a License No. 6451023129 (Michigan).

The current practice location address for Jasmine Diamond Wade is 17250 Patton St, Detroit, MI and can be reached out via phone at 248-773-2363.

Location: 17250 Patton St, Detroit, MI, 48219-4725
person
Provider Profile Details
NPI Number
1841641511
Provider Name
Jasmine Diamond Wade
Credential
MA,LLPC
Provider Entity Type
Individual
Gender
Female
Address
17250 Patton St, Detroit, MI, 48219-4725
Phone Number
248-773-2363
Fax Number
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17250 Patton St
City
State
Zip
48219-4725
Phone Number
248-773-2363
Fax Number
person
Provider Business Mailing Address Details
Address
17250 Patton St
City
State
Zip
48219-4725
Phone Number
248-773-2363
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6451023129 (Michigan)
Definition
Definition to come...
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