Individual
MRS. CATHERINE ANN PANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-II, ICADC
Contact information
Practice address
1415 TRUMBULL ST, DETROIT, MI 48216-1368
(313) 964-2030
Mailing address
2313 PINE MEADOW DR, NEWPORT, MI 48166-9197
(313) 549-4404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00749
MI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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