MEDICARE: JANA AL-NAHHAS

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
1	101YM0800X	Mental Health Counselor	180012541	IL
2	101YM0800X	Mental Health Counselor	6401016531	MI

General Provider Information

NPI Number	:	1396247326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA AL-NAHHAS

Provider Business Mailing Address
First Line	:	1950 S ROCHESTER RD # 1008
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3534
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 S ROCHESTER RD # 1008
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3534
Country	:	US
Telephone Number	:	734-531-8469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	12/26/2024

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Directions to “ JANA AL-NAHHAS ” Practice Location

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