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NPI Code Detail

MEDICARE: MRS. MURIEL RUTH COLASINSKI LLPC

MEDICARE: MRS. MURIEL RUTH COLASINSKI 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
1101YP2500XProfessional Counselor6401011965MI

General Provider Information

NPI Number : 1447351549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MURIEL RUTH COLASINSKI LLPC
Provider Business Mailing Address
First Line : 79 W ALEXANDRINE ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2015
Country : US
Telephone Number : 313-324-8595
Fax Number : 313-262-0914
Provider Business Practice Location Address
First Line : 79 W ALEXANDRINE ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2015
Country : US
Telephone Number : 313-831-5535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 12/11/2012

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