George, John W

George, John W is an individual health care provider with primary practice located at 23505 Jefferson Ave , Saint Clair Shores MI 48080-1968. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. George, John W can be contacted via phone (586) 701-2997.

Contact Information

Primary practice address
23505 Jefferson Ave Saint Clair Shores MI 48080-1968
Phone: (586) 701-2997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801115901 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801107233 Michigan

Profile Details

NPI number 1659818821
LBN Legal business name George, John W
Credentials LMSW,CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Dec 17th, 2023 - about 3 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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