Datara Michener, LLPC

NPI #1710229562 in Rochester, Michigan

Provider Information

NPI Number: 1710229562
Entity Type: Individual
Name: Datara Michener, LLPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LLPC
Enumeration Date: Mar 20, 2013
Last Updated: Mar 20, 2013

Practice Location

Address: 850 W UNIVERSITY DR
City: Rochester
State: Michigan
ZIP Code: 48307-1845
Phone: (248) 601-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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