Devivo, John

Devivo, John is an individual health care provider with primary practice located at 120 S Main St Suite C, Milford MI 48381-1975. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Devivo, John can be contacted via phone (248) 390-5791.

Contact Information

Primary practice address
120 S Main St Suite C Milford MI 48381-1975
Phone: (248) 390-5791
Fax: (248) 250-6455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801046519 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6801046519 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801046519 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6801046519 Michigan

Profile Details

NPI number 1205175791
LBN Legal business name Devivo, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Feb 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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