Individual
MRS. REGINA SHERYL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-M, SPEX, FAODP,
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
(313) 834-4541
Mailing address
12305 DEXTER AVE, DETROIT, MI 48206-1015
(313) 397-1306
(313) 397-6010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
03/23/2007
Last updated
05/04/2010
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