Individual
ANTOINETTE C HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
2457 HEMPSTEAD RD, AUBURN HILLS, MI 48326-3411
(247) 334-5223
(248) 334-5223
Mailing address
2457 HEMPSTEAD RD, AUBURN HILLS, MI 48326-3411
(247) 334-5223
(248) 334-5223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200170
C ACII
MI
Enumeration date
05/23/2007
Last updated
07/08/2007
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