Individual
MR. JESSE WASHINGTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA,CAC
Contact information
Practice address
5470 CHENE ST, DETROIT, MI 48211-2746
(313) 875-5521
(313) 267-0549
Mailing address
17359 LAHSER RD, DETROIT, MI 48219-2333
(313) 534-3658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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