Individual
MR. PATRICK ROSS SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 VANCOUVER ST, DETROIT, MI 48204-3670
(313) 530-6274
Mailing address
PO BOX 4063, DETROIT, MI 48204
(313) 434-5156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104255
MI
104100000X
Social Worker
104255
MI
Other
Enumeration date
07/31/2009
Last updated
06/08/2021
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