Individual
ANN MARIE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW CAC
Contact information
Practice address
1823 COMMERCE ST, MUSKEGON, MI 49441-2608
(231) 739-6840
(231) 722-4771
Mailing address
1823 COMMERCE ST, MUSKEGON, MI 49441-2608
(231) 739-6840
(231) 722-4771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-04780
MI
104100000X
Social Worker
6802064466
MI
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-04708
CERTIFIED ADDICTION COUNSELOR
MI
01
—
6802064466
STATE OF MICHIGAN SOCIAL WORKER LISCENSE
MI
Enumeration date
09/13/2012
Last updated
07/22/2014
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