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Mr. Adolphus Heath
Professional Counselor in Detroit, Michigan
NPI 1619225562

Adolphus Heath is a Professional Counselor based in Detroit, MI and is specialized in Professional. Adolphus Heath practices in Detroit, MI. The NPI Number for Adolphus Heath is 1619225562 and holds a License No. 820123 (Michigan).

The current practice location address for Adolphus Heath is 2081 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-895-0500.

Location: 2081 W Grand Blvd, Detroit, MI, 48224-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619225562
Provider Name
Adolphus Heath
Credential
Provider Entity Type
Individual
Gender
Male
Address
2081 W Grand Blvd, Detroit, MI, 48224-1261
Phone Number
313-895-0500
Fax Number
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
820123 05 MI
institution
Provider Business Practice Location Address Details
Address
2081 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1105
Phone Number
313-895-0500
Fax Number
person
Provider Business Mailing Address Details
Address
2081 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1105
Phone Number
313-895-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
820123 (Michigan)
Definition
Definition to come...
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