Individual
ERIC SHAWN MOLITOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2710 W 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Mailing address
2710 W 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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