MR. THEADORE ALGER MARTIN CACMCSOTS NPI 1821322454

NPI Information

NPI: 1821322454
Provider Name: MR. THEADORE ALGER MARTIN, CACM,CSOTS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8097 DECATUR ST
DETROIT, MI
ZIP 48228
Phone: (313) 846-5020
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MR. Theadore Alger Martin, CACM,CSOTS is an addiction (substance use disorder) counselor in Detroit, MI. MR. Theadore Alger Martin, CACM,CSOTS NPI is 1821322454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8097 DECATUR ST
DETROIT, MI
ZIP 48228-721
Phone: (313) 846-5020
Fax: (313) 846-3468

The enumeration date for this NPI number is 9/30/2009 and was last updated on 9/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		25572CSOTS	MICHIGAN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	104888 CACM	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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