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Mark Dixon Yancy SR.
Professional Counselor in Troy, Michigan
NPI 1881176105

Mark Dixon Yancy SR. is a Professional Counselor based in Troy, MI and is specialized in Professional. Mark Dixon Yancy SR. practices in Troy, MI. The NPI Number for Mark Dixon Yancy SR. is 1881176105 and holds a License No. 6401016811 (Michigan).

The current practice location address for Mark Dixon Yancy SR. is 5869 Marble Dr, Troy, MI and can be reached out via phone at 248-943-7111.

Location: 5869 Marble Dr, Troy, MI, 48085-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881176105
Provider Name
Mark Dixon Yancy SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5869 Marble Dr, Troy, MI, 48085-3967
Phone Number
248-943-7111
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5869 Marble Dr
City
Troy
State
Michigan
Zip
48085-3967
Phone Number
248-943-7111
Fax Number
person
Provider Business Mailing Address Details
Address
5869 Marble Dr
City
Troy
State
Michigan
Zip
48085-3967
Phone Number
248-943-7111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401016811 (Michigan)
Definition
Definition to come...
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