Individual
BETSEY AMBER HOPE KONIECZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
Mailing address
22939 LAKESHORE DR, SAINT CLAIR SHORES, MI 48080-2716
(313) 213-4882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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