Individual
MISS AMBER ROSE DECOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AODA
Contact information
Practice address
1406 8TH ST, PORT HURON, MI 48060-5804
(810) 987-1258
Mailing address
511 ROYAL ST, SAINT CLAIR, MI 48079-5426
(810) 580-8730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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