Individual provider · Type 1 NPI

Laverne D. Smith-Rudolph

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1104059567 Active

Practice location

17131 Gitre St
Detroit, MI 48205-3161

Fax (313) 371-6139

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 1104059567

Laverne D. Smith-Rudolph's National Provider Identifier is 1104059567, issued on Sep 1, 2009. 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 Sep 1, 2009.