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NPI Code Detail

MEDICARE: MR. BRIAN JAMES TITUS LLPC

MEDICARE:  MR. BRIAN JAMES TITUS  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
1101YM0800XMental Health Counselor6451023054MI

General Provider Information

NPI Number : 1619652617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN JAMES TITUS LLPC
Provider Business Mailing Address
First Line : 42933 LOMBARDY DR
Second Line :
City : CANTON
State : MI
Zip : 48187-2320
Country : US
Telephone Number : 734-612-5269
Fax Number :
Provider Business Practice Location Address
First Line : 3300 WASHTENAW AVE STE 222
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-4261
Country : US
Telephone Number : 734-203-0183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2023
Last Update Date : 06/03/2024

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Directions to “ MR. BRIAN JAMES TITUS LLPC” Practice Location

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