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NPI Code Detail

MEDICARE: JAMILLA JASMIN DABISH

MEDICARE: JAMILLA JASMIN DABISH
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
1101Y00000XCounselor6451024433MI

General Provider Information

NPI Number : 1184589830
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMILLA JASMIN DABISH
Provider Business Mailing Address
First Line : 5770 GREGORY DR
Second Line :
City : UTICA
State : MI
Zip : 48317-2813
Country : US
Telephone Number : 586-431-4847
Fax Number :
Provider Business Practice Location Address
First Line : 13001 23 MILE RD STE 103
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-2767
Country : US
Telephone Number : 586-210-6148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ JAMILLA JASMIN DABISH ” Practice Location

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