Individual
JOHN LEWIS EBERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC-I
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04192
MI
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/18/2019
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