Individual provider · Type 1 NPI

Judith Persley, MSA

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1255480414 Active

Practice location

4777 E Outer Dr
Detroit, MI 48234-3241

Call (313) 369-5000 Map

Fax (313) 369-5545

Mailing address

28000 Dequindre Rd
Warren, MI 48092-2468

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 1255480414

Judith Persley, MSA's National Provider Identifier is 1255480414, issued on Jan 9, 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.