Individual
MR. JEFFREY RICHARD AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC1
Contact information
Practice address
3139 W HURON ST, WATERFORD, MI 48328-3636
(248) 320-9466
(248) 738-8404
Mailing address
18 SALMER AVE, #23, PONTIAC, MI 48341-2065
(248) 320-9466
(248) 738-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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