Individual provider · Type 1 NPI
Damon Renard Terrell, LICENSED PROFESSIONA
Mental Health Counselor · Southville, MI
NPI number
1649654336
Active
Practice location
22350 Lucerne Drive, Apt 201
Southville, MI 48075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401010711 (MI) |
Mental Health Counselor: Definition to come...
About NPI 1649654336
Damon Renard Terrell, LICENSED PROFESSIONA's National Provider Identifier is 1649654336, issued on Jul 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southville, MI. The record was last updated on Jul 13, 2015.