Organization · Type 2 NPI
Jabez Op and TH Program
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1831215888
Active
Practice location
7510 Dunedin St # 12
Detroit, MI 48206-2622
Mailing address
71 Richton St
Highland Park, MI 48203-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 822958 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831215888
Jabez Op and TH Program's National Provider Identifier is 1831215888, issued on Mar 21, 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 Aug 22, 2020.