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NPI Code Detail

MEDICARE: MRS. SHERRY LYNN ALLISON LPC

MEDICARE:  MRS. SHERRY LYNN ALLISON  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401018263MI
2103K00000XBehavior Analyst6401018263MI
3101YM0800XMental Health Counselor6401018263MI

General Provider Information

NPI Number : 1306211362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERRY LYNN ALLISON LPC
Provider Business Mailing Address
First Line : 41000 WOODWARD AVE BLDG SUITE350
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-5130
Country : US
Telephone Number : 248-783-6942
Fax Number : 248-327-0333
Provider Business Practice Location Address
First Line : 41000 WOODWARD AVE BLDG SUITE350
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-5130
Country : US
Telephone Number : 248-796-2822
Fax Number : 248-327-0333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2015
Last Update Date : 10/30/2020

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Directions to “ MRS. SHERRY LYNN ALLISON LPC” Practice Location

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