Individual
LISA JO BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
575 S MAIN ST STE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
Mailing address
40044 CAMBRIDGE ST APT 103, CANTON, MI 48187-4541
(734) 377-4777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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