Individual
MR. ROBERT MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A./CAADC
Contact information
Practice address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 263-0077
Mailing address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 263-0077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
820805
MI
Other
Enumeration date
09/18/2009
Last updated
02/23/2016
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