VENUS MACON-DICKERSON CADC-M - NPI 1366734048

Q: What is Venus Macon-dickerson's NPI number?

The NPI number for Venus Macon-dickerson is 1366734048. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Q: What is Venus Macon-dickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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About Venus Macon-dickerson Cadc-m NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VENUS MACON-DICKERSON CADC-M (NPI 1366734048) is an individual addiction (substance use disorder) provider in Detroit, Michigan, licensed in Michigan (1-04821) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1366734048

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameVENUS MACON-DICKERSONCredential: CADC-M

Location Address13575 LESURE STDetroit, MI 48227-3131

Mailing Address13575 Lesure StDetroit, MI 48227-3131 · (313) 493-4410 · Fax (313) 493-4415

Phone(313) 493-4410

Fax(313) 493-4415

Sole ProprietorNo

Enumeration DateMay 12, 2011

✔ NPI 1366734048 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

License✔ Licensed in MI · 1-04821

13575 LESURE ST, Detroit, MI 48227

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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.

DR. SALEH ALI GHAITH M.D.

Preventive Medicine (Addiction Medicine)