Individual provider · Type 1 NPI

Jean Mary Hodges, LLMSW

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1972801967 Active

Practice location

16647 Wyoming St
Detroit, MI 48221-2848

Call (313) 342-3606 Map

Fax (313) 861-0413

Mailing address

37130 Mckinley Ct, Apt. 653
Farmington Hills, MI 48335-1859

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6801092829 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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

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About NPI 1972801967

Jean Mary Hodges, LLMSW's National Provider Identifier is 1972801967, issued on Mar 1, 2011. 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 Mar 1, 2011.