Individual
SABRINA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 400-0911
Mailing address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 400-0911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401013615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381459371
—
MI
Enumeration date
02/11/2015
Last updated
05/28/2021
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