Individual
MRS. NIKKI R HALL-TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CAC-1
Contact information
Practice address
3840 FAIRVIEW ST, DETROIT, MI 48214-1608
(313) 331-8990
(313) 331-6375
Mailing address
150 STIMSON ST, DETROIT, MI 48201-2410
(313) 993-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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