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Mr. Theadore Alger Martin, CACM,CSOTS
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1821322454

Theadore Alger Martin is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Theadore Alger Martin practices in Detroit, MI and has the professional credentials of CACM,CSOTS. The NPI Number for Theadore Alger Martin is 1821322454 and holds a License No. 25572CSOTS (Michigan).

The current practice location address for Theadore Alger Martin is 8097 Decatur St, Detroit, MI and can be reached out via phone at 313-846-5020 and via fax at 313-846-3468.

Location: 8097 Decatur St, Detroit, MI, 48228-2721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821322454
Provider Name
Theadore Alger Martin
Credential
CACM,CSOTS
Provider Entity Type
Individual
Gender
Male
Address
8097 Decatur St, Detroit, MI, 48228-2721
Phone Number
313-846-5020
Fax Number
313-846-3468
Provider Enumeration Date
09/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8097 Decatur St
City
Detroit
State
Michigan
Zip
48228-2721
Phone Number
313-846-5020
Fax Number
313-846-3468
person
Provider Business Mailing Address Details
Address
8097 Decatur St
City
Detroit
State
Michigan
Zip
48228-2721
Phone Number
313-846-5020
Fax Number
313-846-3468
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
104888 CACM (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
25572CSOTS (Michigan)
Definition
Definition to come...
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