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NPI Code Detail

MEDICARE: MR. ALLEN HUGH WARRICK III CADC-SST

MEDICARE: MR. ALLEN HUGH WARRICK III CADC-SST
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) Counselor

General Provider Information

NPI Number : 1144860552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALLEN HUGH WARRICK III CADC-SST
Provider Business Mailing Address
First Line : 9605 GRAND RIVER AVE # A
Second Line :
City : DETROIT
State : MI
Zip : 48204-2139
Country : US
Telephone Number : 313-834-5930
Fax Number :
Provider Business Practice Location Address
First Line : 9605 GRAND RIVER AVE # A
Second Line :
City : DETROIT
State : MI
Zip : 48204-2139
Country : US
Telephone Number : 313-834-5930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 03/12/2026

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Directions to “ MR. ALLEN HUGH WARRICK III CADC-SST” Practice Location

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