Individual
MR. RICH A WEAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
623 WOLVERINE AVE, MONROE, MI 48161-1654
(734) 735-1942
Mailing address
623 WOLVERINE AVE, MONROE, MI 48161-1654
(734) 735-1942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L2238243
MI
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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