Individual
TIMOTHY R CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Mailing address
15122 UNIVERSITY ST, ALLEN PARK, MI 48101-3023
(734) 828-3621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
05/28/2024
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