Individual provider · Type 1 NPI

Kathleen Helen Wyszacki Durham, B.S., B.A.

Mental Health Counselor · Detroit, MI

NPI number 1972905669 Active

Practice location

24424 W Mcnichols Rd
Detroit, MI 48219-3653

Mailing address

21190 Andover Rd
Southfield, MI 48076-3190

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972905669

Kathleen Helen Wyszacki Durham, B.S., B.A.'s National Provider Identifier is 1972905669, issued on Sep 24, 2014. 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 24, 2014.