MICHAEL WASHBURN M.M., M.A., CSAT-C
NPI 1205238201
Counselor - Professional in Utica, MI
Active since September 22, 2014
About Michael Washburn M.m., M.a., Csat-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WASHBURN M.M., M.A., CSAT-C (NPI 1205238201) is an individual professional provider in Utica, Michigan, licensed in Michigan (6401014327) and active in the NPI registry since September 2014.
NPPES Registry Identity
NPI1205238201
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL WASHBURNCredential: M.M., M.A., CSAT-C
Location Address11111 HALL RD, SUITE 300Utica, MI 48317-5711
Mailing Address20505 Milburn StLivonia, MI 48152-1619 · (586) 215-9564
Phone(586) 997-3153
Sole ProprietorYes
Enumeration DateSeptember 22, 2014
✔ NPI 1205238201 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401014327
11111 HALL RD, Utica, MI 48317
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205238201, enumerated as an "individual" on September 22, 2014.
The provider is located at 11111 HALL RD SUITE 300 UTICA, MI 48317 and the phone number is (586) 997-3153.
Counselor with taxonomy code 101YP2500X and a focus in Professional.