Individual
MISS FALISHA NICOLE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19627 RIDGEMONT ST, UNIT #14, SAINT CLAIR SHORES, MI 48080-3320
(586) 709-1111
Mailing address
19627 RIDGEMONT ST, UNIT #14, SAINT CLAIR SHORES, MI 48080-3320
(586) 709-1111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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