Individual
SAMANTHA ABDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 GRATIOT AVE, DETROIT, MI 48213-2816
(313) 922-3333
Mailing address
1420 HANOVER AVE APT 3F, MERIDEN, CT 06451-6237
(313) 740-0774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/19/2017
Last updated
06/26/2024
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