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NPI Code Detail

MEDICARE: DR. MICHAEL DUANE BOBBITT JR. LPC

MEDICARE: DR. MICHAEL DUANE BOBBITT JR. LPC
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 Counselor6401016036MI

General Provider Information

NPI Number : 1336482587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DUANE BOBBITT JR. LPC
Provider Business Mailing Address
First Line : 400 RENAISSANCE CTR STE 2600
Second Line :
City : DETROIT
State : MI
Zip : 48243-1599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 RENAISSANCE CTR STE 2600
Second Line :
City : DETROIT
State : MI
Zip : 48243-1599
Country : US
Telephone Number : 323-205-7088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 12/09/2025

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