Individual
JANNICE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGS, BSW, CAC-D
Contact information
Practice address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
(313) 962-6395
Mailing address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
(313) 962-6395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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