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NPI Code Detail

MEDICARE: MISS ANNA KRISTINA HAUXWELL M.A. LPC, BCBA, LBA

MEDICARE:  MISS ANNA KRISTINA HAUXWELL  M.A. LPC, BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401009494MI
2103K00000XBehavior Analyst7401000605MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17401000605OTHERMIBEHAVIOR ANALYST LICENSE

General Provider Information

NPI Number : 1366558223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANNA KRISTINA HAUXWELL M.A. LPC, BCBA, LBA
Provider Business Mailing Address
First Line : 227 E SANILAC RD
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-648-0330
Fax Number :
Provider Business Practice Location Address
First Line : 227 E SANILAC RD
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-648-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 03/12/2025

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Practice Location Address:
227 E SANILAC RD
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Practice Phone: 810-648-0330
Practice Fax:
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1003906249 — MS. PATRICIA LEE COLE LBSW, QMRP, QMHP
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1881774107 — MS. CHRISTINA LEE WELSH LBSW, QMRP, QMHP
Practice Location Address:
227 E SANILAC AVE
SANDUSKY, MI
48471-1160
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1619057999 — MS. CAMILLA F. ROFF R.N.
Practice Location Address:
227 E SANILAC RD
SANDUSKY, MI
48471-1160
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1497879159 — SANDRA ANNE BROOKS MSW
Practice Location Address:
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Directions to “ MISS ANNA KRISTINA HAUXWELL M.A. LPC, BCBA, LBA” Practice Location

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