person
Mr. Lawrence Kenyatta SR., BACADC
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1154700490

Lawrence Kenyatta SR. is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Lawrence Kenyatta SR. practices in Detroit, MI and has the professional credentials of BACADC. The NPI Number for Lawrence Kenyatta SR. is 1154700490 and holds a License No. (Michigan).

The current practice location address for Lawrence Kenyatta SR. is 3031 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-456-6006 and via fax at 313-935-9311.

Location: 3031 W Grand Blvd, Detroit, MI, 48202-3046
person
Provider Profile Details
NPI Number
1154700490
Provider Name
Lawrence Kenyatta SR.
Credential
BACADC
Provider Entity Type
Individual
Gender
Male
Address
3031 W Grand Blvd, Detroit, MI, 48202-3046
Phone Number
313-456-6006
Fax Number
313-935-9311
Provider Enumeration Date
05/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3031 W Grand Blvd
City
State
Zip
48202-3046
Phone Number
313-456-6006
Fax Number
313-935-9311
person
Provider Business Mailing Address Details
Address
3031 W Grand Blvd
City
State
Zip
48202-3046
Phone Number
313-456-6006
Fax Number
313-935-9311
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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