Individual
SHANEKA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(248) 514-4770
Mailing address
PO BOX 361124, GROSSE POINTE FARMS, MI 48236-5124
(313) 718-7477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
10/05/2021
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