Individual
MRS. IHEKEREMA FULTON-GOREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC1
Contact information
Practice address
21700 GREENFIELD RD, SUITE 130, OAK PARK, MI 48237-2581
(248) 967-4310
(248) 967-4301
Mailing address
870 SEWARD ST, APT #107, DETROIT, MI 48202-2349
(248) 967-4310
(248) 967-4301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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