Individual
BOUISE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA, FAODP
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
(313) 865-1582
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
(313) 865-1582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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