Individual provider · Type 1 NPI
Lawrence Kenyatta Sr., BA. CADC
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1154700490
Active
Practice location
3031 W Grand Blvd, Suite 370
Detroit, MI 48202-3046
Fax (313) 935-9311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154700490
Lawrence Kenyatta Sr., BA. CADC's National Provider Identifier is 1154700490, issued on May 20, 2015. 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 May 20, 2015.