Individual
MRS. MARIKA BLUMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC1
Contact information
Practice address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 547-2223
(248) 547-2226
Mailing address
51284 MOROWSKE DR, SHELBY TOWNSHIP, MI 48316-4623
(248) 547-2223
(248) 547-2226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-00126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-00126
CERTIFIED ADDICTIONS COUN
MI
Enumeration date
03/19/2007
Last updated
07/08/2007
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