Individual
MR. DONALD PHILLIP ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC-R
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
1745 MADSEN DR, ORTONVILLE, MI 48462-8430
(248) 793-7055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00998
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6500
PA
Other
Enumeration date
08/08/2006
Last updated
10/04/2010
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