Individual
DONNISHA DUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
Mailing address
751 EAST GRAND BLVD., DETROIT, MI 48207
(313) 922-2222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
D100149603346
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D100149603346
MI
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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