Individual
DR. JOHN DAVID CANINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
936 S BALDWIN RD, 102, CLARKSTON, MI 48348-3695
(248) 814-0706
(248) 814-0710
Mailing address
936 S BALDWIN RD, 102, CLARKSTON, MI 48348-3695
(248) 814-0706
(248) 814-0710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6361001384
MI
103TC0700X
Clinical Psychologist
Primary
6361001384
MI
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/07/2008
Last updated
05/13/2020
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