Individual
MICHELLE ALICE HUCKABY-BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
Mailing address
9108 BEECH DALY, REDFORD, MI 48329
(248) 747-3358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
101YM0800X
Mental Health Counselor
—
MI
Other
Enumeration date
10/26/2011
Last updated
10/09/2013
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