Individual
CAROL CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1135
(313) 822-1157
Mailing address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1135
(313) 822-1157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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