Individual
MR. ROBERT JOHN HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CPRM
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(131) 383-1316
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M-00011
MI
104100000X
Social Worker
6801096425
MI
1041C0700X
Clinical Social Worker
6801096425
MI
Other
Enumeration date
12/10/2014
Last updated
03/23/2023
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