Individual
MR. LYNELL DENNIS CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
2710 W 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Mailing address
19830 W 12 MILE RD APT 32, SOUTHFIELD, MI 48076-2545
(248) 559-0025
(248) 543-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6802067355
MI
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
03/02/2009
Last updated
04/06/2018
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