| Doctor Name: | SHAREHAN AYESH |
| NPI Number: | 1023413770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LLPC |
| License Number: | 6401014534 |
| Business Practice Address: | 6450 Maple St Dearborn, MI - 481262259 |
| Business Phone Number: | 3132162202 |
| Business Fax Number: | 3135843622 |
| Mailing Address: | 6450 Maple St, DEARBORN |
| State: | MI |
| Postal Code: | 481262259 |
| Phone Number: | 3132162202 |
| Fax Number: | 3135843622 |
| NPI Enumeration Date: | 10/23/2014 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401014534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |