Individual
JOHNNY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E GRAND BLVD, DETROIT, MI 48207-2526
(313) 702-1301
Mailing address
18601 GREELEY ST, HIGHLAND PARK, MI 48203-2191
(313) 808-5602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
175T00000X
Peer Specialist
—
MI
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/14/2024
Last updated
03/20/2024
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