Individual provider · Type 1 NPI

Lynette Marie Ish, MS, FAODP

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1669599684 Active

Practice location

5555 Conner St, Suite 1000 South
Detroit, MI 48213-3448

Call (313) 347-2070 Map

Mailing address

18339 Blue Heron Dr E
Northville, MI 48168-9245

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 1669599684

Lynette Marie Ish, MS, FAODP's National Provider Identifier is 1669599684, issued on Mar 23, 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.