Individual
PETER GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC
Contact information
Practice address
26711 WOODWARD AVE STE LL3, HUNTINGTON WOODS, MI 48070-1370
(901) 485-2431
Mailing address
26711 WOODWARD AVE STE LL3, HUNTINGTON WOODS, MI 48070-1370
(901) 485-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YP2500X
Professional Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649631789
—
MI
Enumeration date
03/17/2016
Last updated
01/21/2021
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