Individual
PHILLIP CHARLES WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADDICTION COUNSELOR
Contact information
Practice address
1800 W BETHUNE ST APT 104, DETROIT, MI 48206-2674
(313) 778-2696
Mailing address
1800 BETHUNE, APT.104, DETROIT, MI 48206
(313) 778-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141928000
—
MI
Enumeration date
04/14/2008
Last updated
04/14/2008
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