Individual
MARK KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 STEPHENSON HWY, SUITE 210, TROY, MI 48083-1152
(248) 585-3239
Mailing address
1613 EDGEWOOD DR, ROYAL OAK, MI 48067-1298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401015161
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401015161
MI
101YM0800X
Mental Health Counselor
Primary
6401015161
MI
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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