Michael R Madieros
Counselor, Addiction (Substance Use Disorder) in Frankenmuth, MI. Individual provider (NPI-1).
NPI number1962080937
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1962080937
- Entity type
- Individual (NPI-1)
- Name
- Michael R Madieros
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | Pending | MI | Yes |
Practice location
6060 Maple RdFrankenmuth, MI 48734-9715
Phone 530-815-1747
Mailing address
6060 Maple RdFrankenmuth, MI 48734-9715
Phone 530-815-1747
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