Individual
MS. MAKAVA NICO HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
Mailing address
12126 PIERSON ST, DETROIT, MI 48228-5506
(313) 740-3884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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