Individual provider · Type 1 NPI

Jewell Baltimore

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1073631453 Active

Practice location

300 W Mcnichols Rd
Detroit, MI 48203-2703

Call (313) 867-8015 Map

Fax (313) 867-8040

Mailing address

1449 W Philadelphia St
Detroit, MI 48206-2428

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 1073631453

Jewell Baltimore's National Provider Identifier is 1073631453, issued on Mar 26, 2007. 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 Jul 8, 2007.