Individual
CHRISTINE JOAN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, FAODP
Contact information
Practice address
1435 N. OAKLAND BLVD., WATERFORD, MI 48327
(248) 406-0090
Mailing address
10728 OXBOW HEIGHTS DR., WHITE LAKE, MI 48386
(248) 698-2694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401008950
MI
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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