Individual
GINGER RENEE BRADFIELD CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CAADC
Contact information
Practice address
29840 MARSHALL DR, WESTLAND, MI 48186-7361
(313) 588-2971
Mailing address
29840 MARSHALL DR, WESTLAND, MI 48186-7361
(313) 588-2971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00592
MI
101YP2500X
Professional Counselor
Primary
6401009962
MI
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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