Individual
MARY ALLIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, MA, ICAADC, SAP
Contact information
Practice address
32811 MIDDLEBELT RD STE D, FARMINGTON HILLS, MI 48334-1701
(313) 268-4448
Mailing address
PO BOX 37491, OAK PARK, MI 48237-0491
(313) 268-4448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-02275
MI
101YM0800X
Mental Health Counselor
6401007949
MI
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/25/2014
Last updated
06/27/2024
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