Individual
MR. WAYNE ISBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CAC-I
Contact information
Practice address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 369-4398
Mailing address
19172 DELAWARE AVE, REDFORD, MI 48240-2626
(313) 543-3201
(313) 369-1728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801019664
MI
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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