Doctor Name: | COLEEN DZIURLIKOWSKI |
NPI Number: | 1558759209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401013577 |
Business Practice Address: | 1199 Harris Ave Tawas City, MI - 487639681 |
Business Phone Number: | 9893628636 |
Business Fax Number: | 9893627800 |
Mailing Address: | Po Box 310, 1199 W. Harris Ave. TAWAS CITY |
State: | MI |
Postal Code: | 487640310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |