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Rell Drake Spickerman
Mental Health Counselor in Gwinn, Michigan
NPI 1760116149

Rell Drake Spickerman is a Mental Health Counselor based in Gwinn, MI and is specialized in Mental Health. Rell Drake Spickerman practices in Gwinn, MI. The NPI Number for Rell Drake Spickerman is 1760116149 and holds a License No. 6801013241 (Michigan).

The current practice location address for Rell Drake Spickerman is 32 S Shag Lake Dr, Gwinn, MI and can be reached out via phone at 906-250-2259.

Location: 32 S Shag Lake Dr, Gwinn, MI, 49841-9203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760116149
Provider Name
Rell Drake Spickerman
Credential
Provider Entity Type
Individual
Gender
Male
Address
32 S Shag Lake Dr, Gwinn, MI, 49841-9203
Phone Number
906-250-2259
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32 S Shag Lake Dr
City
Gwinn
State
Michigan
Zip
49841-9203
Phone Number
906-250-2259
Fax Number
person
Provider Business Mailing Address Details
Address
32 S Shag Lake Dr
City
Gwinn
State
Michigan
Zip
49841-9203
Phone Number
906-250-2259
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6801013241 (Michigan)
Definition
Definition to come...
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