Individual
TIESHA NICOLE HEMINGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAODP
Contact information
Practice address
13336 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
(313) 822-6946
Mailing address
12644 WILSHIRE DR, DETROIT, MI 48213-1881
(313) 409-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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