Individual
MS. LORETHA HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SW
Contact information
Practice address
211 GLENDALE ST, SUITE 206, HIGHLAND PARK, MI 48203-3231
(313) 868-3223
(313) 868-8891
Mailing address
17303 MANSFIELD ST, DETROIT, MI 48235-3525
(313) 835-3545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
820844
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820844
SUBSTANCE ABUSE LICENSE
MI
Enumeration date
03/13/2007
Last updated
07/08/2007
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