Individual provider · Type 1 NPI
Julia Pangborn-Harley, MA
Mental Health Counselor · Detroit, MI
NPI number
1144714890
Active
Practice location
5716 Michigan Ave # 3000
Detroit, MI 48210-3039
Fax (313) 963-2471
Mailing address
1129 Beaconsfield Ave Apt 2
Grosse Pointe Park, MI 48230-2018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6401016692 (MI) |
| Mental Health Counselor Primary | 101YM0800X | 6401016692 (MI) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1144714890
Julia Pangborn-Harley, MA's National Provider Identifier is 1144714890, issued on Jun 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Sep 21, 2018.