Individual
JACQUE RENE NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
(313) 922-8771
Mailing address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
(313) 922-8771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA0822273
MI
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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