Organization
RAKHMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
601 ABBOT RD STE 103, EAST LANSING, MI 48823-3366
(517) 574-4197
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
601012798
MI
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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