Individual
MR. MICHAEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAS, CAC-II, SST
Contact information
Practice address
36 W TENNYSON AVE, PONTIAC, MI 48340-2668
(248) 454-0407
(248) 454-6557
Mailing address
8301 16 1/2 MILE RD, APT 102, STERLING HEIGHTS, MI 48312-1844
(586) 795-9465
(248) 454-6557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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