Healthcare Provider Details

I. General information

NPI: 1336377506
Provider Name (Legal Business Name): CRISTINA SPINA MA, LPC, NCC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CRISTINA MARLEAU MA, LPC, NCC, CAADC

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S ROCHESTER RD SUITE 1400
ROCHESTER HILLS MI
48307-5160
US

IV. Provider business mailing address

48339 ADAMS DR
MACOMB MI
48044-4942
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-6234
  • Fax: 248-844-6237
Mailing address:
  • Phone: 248-891-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number640101134
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number175799
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: