Individual
DONALD F. ULISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LLP
Contact information
Practice address
6223 N CANTON CENTER RD, CANTON, MI 48187-2696
(734) 737-1200
Mailing address
6223 N CANTON CENTER RD, CANTON, MI 48187-2696
(734) 975-0445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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