Individual
MISS DIANA POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,MS, RSST, CHW
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(138) 413-8900
Mailing address
16442 BRANDT ST, ROMULUS, MI 48174-3213
(734) 578-2640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
04/15/2014
Last updated
08/13/2025
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