James, Angelica Latrice

James, Angelica Latrice is an individual health care provider with primary practice located at 9560 Grandmont Ave , Detroit MI 48227-1029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. James, Angelica Latrice can be contacted via phone (313) 320-2306.

Contact Information

Primary practice address
9560 Grandmont Ave Detroit MI 48227-1029
Phone: (313) 320-2306
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1922352723
LBN Legal business name James, Angelica Latrice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2012
Last updated Feb 24th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922352723 NPPES
Michigan MEDICAID 1922352723

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