Christopher Doan, DP-C

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Richmond, MI

NPI 1164023578 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1164023578
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
DP-C (MI)
Practice address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone
(810) 392-2167
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DP-CMIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X DP-C MI Yes

Addresses

Primary practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

2960 Beach Rd Apt 7
Port Huron, MI 48060-2786
Phone (810) 941-8393

Other providers in Richmond, MI

All providers in Richmond, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.