Individual
ALLISON ANN IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6851 CLINTONVILLE RD, CLARKSTON, MI 48348-4917
(313) 268-4276
Mailing address
6851 CLINTONVILLE RD, CLARKSTON, MI 48348-4917
(313) 268-4276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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