Individual
RELL DRAKE SPICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 S SHAG LAKE DR, GWINN, MI 49841-9203
(906) 250-2259
Mailing address
32 S SHAG LAKE DR, GWINN, MI 49841-9203
(906) 250-2259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801013241
MI
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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