Individual provider · Type 1 NPI

Jannice King, AGS, BSW, CAC-D

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1104191626 Active

Practice location

445 Ledyard St
Detroit, MI 48201-2641

Call (313) 962-9446 Map

Fax (313) 962-6395

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 1104191626

Jannice King, AGS, BSW, CAC-D's National Provider Identifier is 1104191626, issued on Mar 16, 2012. 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 Mar 16, 2012.