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NPI Code Detail

MEDICARE: SABRINA WALTON LLPC

MEDICARE: SABRINA WALTON LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor6401013615MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093106106
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA WALTON LLPC
Provider Business Mailing Address
First Line : 19211 ANGLIN ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-1460
Country : US
Telephone Number : 313-400-0911
Fax Number :
Provider Business Practice Location Address
First Line : 19211 ANGLIN ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-1460
Country : US
Telephone Number : 313-400-0911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 05/28/2021

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