Individual
JANELLE RABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 309-5900
Mailing address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 309-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801106517
MI
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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