Individual
MR. HARVEY MCMIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC -I
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
(313) 895-9503
Mailing address
19376 LUMPKIN ST, DETROIT, MI 48234-1235
(313) 891-9107
(313) 895-9503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6803084345
SOCIAL SERVICE TECH REGIS
MI
Enumeration date
05/10/2007
Last updated
07/08/2007
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