Individual
PROF. MICHAEL LANE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, RRT, CADC, CPRM
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 864-5326
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1861645368
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
822974
MI
175T00000X
Peer Specialist
1861645368
MI
2279E1000X
Educational Registered Respiratory Therapist
—
MI
Other
Enumeration date
10/28/2008
Last updated
09/18/2019
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