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Individual

PROF. MICHAEL LANE MCCLAIN

Active
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Individual

PROF. MICHAEL LANE MCCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, RRT, CADC, CPRM

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1861645368
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
822974
MI
175T00000X
Peer Specialist
1861645368
MI
2279E1000X
Educational Registered Respiratory Therapist
—
MI

Other

Enumeration date
10/28/2008
Last updated
09/18/2019
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