MR. Michael Dodge

NPI #1548512650 in Flora, Illinois

Provider Information

NPI Number
1548512650
Entity Type
Individual
Name
MR. Michael Dodge
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 12, 2012
Last Updated
Oct 12, 2012

Practice Location

Address
901 W 3RD ST
City
Flora
ZIP Code
62839-1287
Phone
(618) 662-2871

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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