JANNICE KING AGS, BSW, CAC-D
NPI 1104191626
Counselor - Addiction (Substance Use Disorder) in Detroit, MI
Active since March 16, 2012
About Jannice King Ags, Bsw, Cac-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANNICE KING AGS, BSW, CAC-D (NPI 1104191626) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since March 2012.
NPPES Registry Identity
NPI1104191626
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJANNICE KINGCredential: AGS, BSW, CAC-D
Location Address445 LEDYARD STDetroit, MI 48201-2641
Mailing Address445 Ledyard StDetroit, MI 48201-2641 · (313) 962-9446 · Fax (313) 962-6395
Phone(313) 962-9446
Fax(313) 962-6395
Sole ProprietorNo
Enumeration DateMarch 16, 2012
✔ NPI 1104191626 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
445 LEDYARD ST, Detroit, MI 48201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
445 LEDYARD ST
DETROIT, MI 48201
DETROIT, MI 48201
Counselor (Addiction (Substance Use Disorder))
445 LEDYARD ST
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104191626, enumerated as an "individual" on March 16, 2012.
The provider is located at 445 LEDYARD ST DETROIT, MI 48201 and the phone number is (313) 962-9446.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).