Individual provider · Type 1 NPI

Carlos T. League

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1578818837 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 101YA0400XDEVELOPMENTPLAN (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1578818837

Carlos T. League's National Provider Identifier is 1578818837, issued on Jul 23, 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 Jul 23, 2012.