Individual provider · Type 1 NPI
Myria Gillespie, BSW
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1649640939
Active
Practice location
15941 Fairfield St
Detroit, MI 48238-4123
Fax (313) 345-4315
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 1649640939
Myria Gillespie, BSW's National Provider Identifier is 1649640939, issued on Sep 30, 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 Sep 30, 2015.