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Individual

MS. KATRINA JEAN PADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC, CADC-M

Contact information

Practice address
201 N MITCHELL ST STE 204, CADILLAC, MI 49601-1859
(231) 884-0028
(888) 977-1502
Mailing address
302 E CASS ST, CADILLAC, MI 49601-2170
(231) 884-0028
(231) 824-3641

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012036
MI
101YP2500X
Professional Counselor
Primary
6401012036
MI

Other

Enumeration date
02/15/2007
Last updated
06/07/2024
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