Individual
RUSSELL BURTON READER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, ASMHSW
Contact information
Practice address
120 S MAIN ST, SUITE C, MILFORD, MI 48381-1975
(248) 390-5791
(866) 250-6455
Mailing address
120 S MAIN ST, SUITE C, MILFORD, MI 48381-1975
(248) 390-5791
(866) 250-6455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01119
MI
101YM0800X
Mental Health Counselor
—
MI
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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