Individual provider · Type 1 NPI

Sydney Dershem

Addiction (Substance Use Disorder) Counselor · Charlotte, MI

NPI number 1467294371 Active

Practice location

128 S Cochran Ave
Charlotte, MI 48813-1510

Mailing address

4596 W Townsend Rd
St. Johns, MI 48879-9628

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 1467294371

Sydney Dershem's National Provider Identifier is 1467294371, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, MI. The record was last updated on Jun 11, 2024.