Individual
MS. CAROL BLAIR-HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN; MSW;CAADC-M
Contact information
Practice address
39880 VAN DYKE AVE STE 202A, STERLING HEIGHTS, MI 48313-4670
(313) 999-8724
(313) 370-5660
Mailing address
16821 MARK TWAIN ST, DETROIT, MI 48235-4066
(313) 999-8724
(313) 370-5660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704266843
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704266843
MI
Other
Enumeration date
08/25/2015
Last updated
03/17/2026
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