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Organization

DASHONTA D WARREN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DASHONTA D WARREN SST (OWNER)
(734) 881-7302
Entity
Organization

Contact information

Practice address
3800 GREENFIELD RD, DEARBORN, MI 48120-1206
(313) 326-1078
Mailing address
3800 GREENFIELD RD, DEARBORN, MI 48120-1206
(734) 881-7302

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172A00000X
Driver
172V00000X
Community Health Worker
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6803085540
SOCIAL SERVICE TECHINICAN
MI
Enumeration date
01/11/2024
Last updated
02/06/2024
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