Doctor Name: | GERALD MAKI |
NPI Number: | 1033169388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6401002624 |
Business Practice Address: | 5024 N Center Rd Saginaw, MI - 486049412 |
Business Phone Number: | 9897903130 |
Business Fax Number: | 9897903139 |
Mailing Address: | 467 N State St, CARO |
State: | MI |
Postal Code: | 487231539 |
Phone Number: | 9896726160 |
Fax Number: | 9896725649 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401002624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |