Individual
TENESSA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 BERKSHIRE ST, DETROIT, MI 48224-3208
(313) 587-7039
Mailing address
5790 BERKSHIRE ST, DETROIT, MI 48224-3208
(313) 587-7039
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845080656
—
MI
05
—
9510367
—
MI
Enumeration date
07/01/2021
Last updated
07/01/2021
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