Individual
MR. CEDRIC JEROME COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 243-8707
Mailing address
1300 ELECTRIC AVE, APT #311, LINCOLN PARK, MI 48146-5814
(313) 663-3673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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