MEDICARE: CATHERINE MONICA CHAN

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1326921453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MONICA CHAN

Provider Business Mailing Address
First Line	:	789 WOODCREEK CT
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48198-7527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 WOODCREEK CT
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48198-7527
Country	:	US
Telephone Number	:	248-904-9134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	03/23/2026

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Directions to “ CATHERINE MONICA CHAN ” Practice Location

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