Individual provider · Type 1 NPI

Wayne Brockway, CCJP-M

Addiction (Substance Use Disorder) Counselor · Kalamazoo, MI

NPI number 1891483277 Active

Practice location

1701 Olmstead Rd
Kalamazoo, MI 49048-3343

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 1891483277

Wayne Brockway, CCJP-M's National Provider Identifier is 1891483277, issued on Apr 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kalamazoo, MI. The record was last updated on Apr 25, 2023.