Individual
MR. LAWRENCE KENYATTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA. CADC
Contact information
Practice address
3031 W GRAND BLVD, SUITE 370, DETROIT, MI 48202-3046
(313) 456-6006
(313) 935-9311
Mailing address
3031 W GRAND BLVD, SUITE 370, DETROIT, MI 48202-3046
(313) 456-6006
(313) 935-9311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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