Individual
MS. JESSIKA BETH RENUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CADC
Contact information
Practice address
751 E GRAND BLVD., DETROIT, MI 48207
(313) 922-2222
(866) 287-5710
Mailing address
751 E GRAND BLVD., DETROIT, MI 48207
(313) 922-2222
(866) 287-5710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
07/29/2015
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