Provider Demographics
NPI:1033204649
Name:FERBER, DOLORES ALICE (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:ALICE
Last Name:FERBER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4549 STARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHINA TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48054-3015
Mailing Address - Country:US
Mailing Address - Phone:810-765-7125
Mailing Address - Fax:
Practice Address - Street 1:4549 STARVILLE RD
Practice Address - Street 2:
Practice Address - City:CHINA TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48054-3015
Practice Address - Country:US
Practice Address - Phone:810-765-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007701101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor