JESSE WASHINGTON

DETROIT, MI
NPI1851423768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Mr. JESSE WASHINGTON BA,CAC
5470 CHENE ST
DETROIT, MI 48211-2746
Phone number: 313-875-5521
Mailing Address
Mr. JESSE WASHINGTON BA,CAC
17359 LAHSER RD
DETROIT, MI 48219-2333
Phone number: 313-534-3658
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