KALI SKODACK

PORT HURON, MI
NPI1699524884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  APCC12777)
101YM0800X Counselor, Mental Health
Enumeration Date2024-05-18
Last Update Date2024-06-20
Business Address
KALI SKODACK BC-DMT, APCC
1406 8TH ST
PORT HURON, MI 48060-5804
Phone number: 810-392-2167
Mailing Address
KALI SKODACK BC-DMT, APCC
425 OGEMAW ST
OSCODA, MI 48750-1419
Phone number: