Carlisa Mathis
Carlisa Mathis is a Counselor in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2020.
- Licensed in
- MI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
7310 Woodward AveDetroit, MI 48202-3165
Phone: (313) 896-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 6451006595 (MI) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1669096343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 29, 2020 |
| Last updated in NPPES | January 10, 2022 |
| Certification date | January 10, 2022 |
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