person
Michaela J Detrick, LPC,CAADC
Addiction (Substance Use Disorder) Counselor in Williamsport, Pennsylvania
NPI 1144990961

Michaela J Detrick is an Addiction (Substance Use Disorder) Counselor based in Montoursville, PA and is specialized in Addiction (Substance Use Disorder). Michaela J Detrick practices in Williamsport, PA and has the professional credentials of LPC,CAADC. The NPI Number for Michaela J Detrick is 1144990961 and holds a License No. PC013722 (Pennsylvania).

The current practice location address for Michaela J Detrick is 1521 Washington Blvd, Williamsport, PA and can be reached out via phone at 570-322-5051 and via fax at 570-322-6788.

Location: 1521 Washington Blvd, Williamsport, PA, 17754-1022
person
Provider Profile Details
NPI Number
1144990961
Provider Name
Michaela J Detrick
Credential
LPC,CAADC
Provider Entity Type
Individual
Gender
Female
Address
1521 Washington Blvd, Williamsport, PA, 17754-1022
Phone Number
570-322-5051
Fax Number
570-322-6788
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1521 Washington Blvd
City
State
Zip
17701-5426
Phone Number
570-322-5051
Fax Number
570-322-6788
person
Provider Business Mailing Address Details
Address
1521 Washington Blvd
City
State
Zip
17701-5426
Phone Number
570-322-5051
Fax Number
570-322-6788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10091 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC013722 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC013722 (Pennsylvania)
Definition
Definition to come...
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