Individual provider · Type 1 NPI

Crystal Charmayne Addison

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1013584580 Active

Practice location

300 W Mcnichols Rd
Detroit, MI 48203-2703

Call (313) 867-8015 Map

Fax (313) 867-8040

Mailing address

19142 Delaware St
Roseville, MI 48066-4144

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013584580

Crystal Charmayne Addison's National Provider Identifier is 1013584580, issued on Jun 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jun 4, 2021.