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Individual

MR. ANTHONY DEREK AUSTIN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCC, BCCC

Contact information

Practice address
17800 RUSSELL ST, HIGHLAND PARK, MI 48203-2308
(269) 363-6583
Mailing address
17800 RUSSELL ST, HIGHLAND PARK, MI 48203-2308
(269) 363-6583

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/29/2025
Last updated
09/29/2025
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