Doctor Name: | DEBORAH ANN-MARIE ENDRES |
NPI Number: | 1417055385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLP, LPC |
License Number: | 6401007287 |
Business Practice Address: | 35455 Garfield Rd #c Clinton Township, MI - 480352236 |
Business Phone Number: | 5867925335 |
Business Fax Number: | 5867923061 |
Mailing Address: | 28000 Dequindre Rd, WARREN |
State: | MI |
Postal Code: | 480922468 |
Phone Number: | 5867530405 |
Fax Number: | 5867530404 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401007287 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |