Individual
PERRY LAMAR SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
Mailing address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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