Doctor Name: | MS. KATRINA DAPHNE STOKES |
NPI Number: | 1417003856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6401006840 |
Business Practice Address: | 18090 Mack Ave Grosse Pointe, MI - 482306251 |
Business Phone Number: | 3135747636 |
Business Fax Number: | |
Mailing Address: | 10720 Somerset Ave, DETROIT |
State: | MI |
Postal Code: | 482241734 |
Phone Number: | 3138820482 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401006840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |