Individual
ELISE DEBRULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-3030
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-3030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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