Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1013085984 |
---|---|
Provider Name | Ms. Kathleen Ann Allin |
First Address | Harrison Twp, MI 48045-3154 |
Second Address | Clinton Twp, MI 48036-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/07/2007 |