Individual
STACIE ANN NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6902 CHICAGO RD, WARREN, MI 48092-1686
(586) 983-2670
(586) 983-2672
Mailing address
6902 CHICAGO RD, WARREN, MI 48092-1686
(586) 983-2670
(586) 983-2672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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