Individual
MICHAEL ANDREW PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21760 LOGUE AVE, WARREN, MI 48091-2352
(734) 255-0450
Mailing address
21760 LOGUE AVE, WARREN, MI 48091-2352
(734) 255-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
TAXONOMY NUMBER
MI
Enumeration date
01/24/2013
Last updated
01/24/2013
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