Individual
GARY ADKISSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
30500 VAN DYKE AVE, SUITE 209, WARREN, MI 48093-2195
(586) 558-6868
Mailing address
30500 VAN DYKE AVE, SUITE 209, WARREN, MI 48093-2195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014373
MI
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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