Most Relevant Information
Provider Data
| NPI Number: | 1003173113 |
| Provider Name: | RONALD EVAN HORMEL M.A., L.L.P.C., N.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401012805 |
Most Important Dates
| Enumeration Date: | 04/13/2012 |
| Last Updated: | 07/24/2013 |
Provider Practice Location
2075 WEST BIG BEAVER ROAD
SUITE 520
TROY
MI
48084
Practice Location Phone/Fax
| Phone: | 2486466659 |
| Fax: | 2486428645 |
Provider Mailing Location
2075 WEST BIG BEAVER ROAD
SUITE 520
TROY
MI
48084
Provider Mailing Phone/Fax
| Phone: | 2486466659 |
| Fax: | 2486428645 |