Whalio Doctors

NPI 1003023680

Anthony Jerome Allen, AASCACII

Practitioner Addiction (Substance Use Disorder) Counselor Detroit, MI

Practice location

Address
12010 Linwood St, Detroit, MI 48206-1108
Phone
(313) 867-1090
Fax
(313) 867-0706
Mailing address
5113 Bangor St, Detroit, MI 48210-1760

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 820202 (MI)

Registry record

NPI
1003023680
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.