Individual
VENUS MACON-DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-M
Contact information
Practice address
13575 LESURE ST, DETROIT, MI 48227-3131
(313) 493-4410
(313) 493-4415
Mailing address
13575 LESURE ST, DETROIT, MI 48227-3131
(313) 493-4410
(313) 493-4415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-04821
MI
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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