Doctor Name: | ADRIANNE MUNTZ |
NPI Number: | 1285089839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801099122 |
Business Practice Address: | 51145 Washington St Suite E New Baltimore, MI - 480472100 |
Business Phone Number: | 5866049101 |
Business Fax Number: | 5866904902 |
Mailing Address: | 29195 Tessmer Ct, MADISON HEIGHTS |
State: | MI |
Postal Code: | 480712603 |
Phone Number: | 2487949994 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801099122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |