MEDICARE: MARGARITA MUNOZ-EVERS MA, LLPC

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	101YM0800X	Mental Health Counselor	6451019580	MI

General Provider Information

NPI Number	:	1427728047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA MUNOZ-EVERS MA, LLPC

Provider Business Mailing Address
First Line	:	4764 FULTON ST E STE 204
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-9086
Country	:	US
Telephone Number	:	616-951-3238
Fax Number	:

Provider Business Practice Location Address
First Line	:	4764 FULTON ST E STE 204
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-9086
Country	:	US
Telephone Number	:	616-951-3238
Fax Number	:

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

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	09/15/2021

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