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Jeffrey Richard Ayres, CAC1

Counselor, Addiction (Substance Use Disorder) in Waterford, MI. Individual provider (NPI-1).

NPI number1952425480
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1952425480
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey Richard Ayres
Credential
CAC1
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

3139 W Huron St
Waterford, MI 48328-3636

Phone 248-320-9466 · Fax 248-738-8404

Mailing address

18 Salmer Ave
#23
Pontiac, MI 48341-2065

Phone 248-320-9466 · Fax 248-738-8404

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