Doctor Name: | CELESTE ANNE ECKMAN HIMANEK |
NPI Number: | 1801028360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC, NCC |
License Number: | 6401010544 |
Business Practice Address: | 35031 23 Mile Rd New Baltimore, MI - 480473649 |
Business Phone Number: | 5867255777 |
Business Fax Number: | 5867252080 |
Mailing Address: | 60780 Bates Rd, LENOX |
State: | MI |
Postal Code: | 480481783 |
Phone Number: | 5869458893 |
Fax Number: | 5867493169 |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401010544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |