Individual
DR. JOHN VINCENT FARRAR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
32437 FIVE MILE RD, LIVONIA, MI 48154-3039
(248) 210-3556
(734) 421-0306
Mailing address
32437 FIVE MILE RD, LIVONIA, MI 48154-3039
(248) 210-3556
(734) 421-0306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401003498
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SARF 821679
MI
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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