Individual
MR. JAMES KEVIN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4085 HAZEL AVE, LINCOLN PARK, MI 48146-3758
(734) 258-0064
Mailing address
4085 HAZEL AVE, LINCOLN PARK, MI 48146-3758
(734) 258-0064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA0823347
MI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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