Doctor Name: | CHRISTINE GRAY GARFIELD |
NPI Number: | 1700229549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 6401010957 |
Business Practice Address: | 3990 Aurelius Rd Onondaga, MI - 492649720 |
Business Phone Number: | 5179373005 |
Business Fax Number: | |
Mailing Address: | 3990 Aurelius Rd, ONONDAGA |
State: | MI |
Postal Code: | 492649720 |
Phone Number: | 5179373005 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401010957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |