| Coddaire & Associates, Inc. | |
|
6445 Citation Drive, Suite H Clarkston MI 48346 | |
| (616) 706-8334 | |
| Not Available |
| Full Name | Coddaire & Associates, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6445 Citation Drive, Suite H, Clarkston, Michigan |
| Authorized Official Name and Position | Katelyn C Coddaire (OWNER) |
| Authorized Official Contact | 6167068334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coddaire & Associates, Inc. 6445 Citation Dr Ste H Clarkston MI 48346-2996 Ph: (616) 706-8334 | Coddaire & Associates, Inc. 6445 Citation Drive, Suite H Clarkston MI 48346 Ph: (616) 706-8334 |
| NPI Number | 1649635087 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649635087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301015429 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | 6401014746 (Michigan) | Secondary |
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