MEDICARE: MICHELLE ROBINSON MA, 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
1	101Y00000X	Counselor	6401006386	MI

General Provider Information

NPI Number	:	1659479517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ROBINSON MA, LPC

Provider Business Mailing Address
First Line	:	43341 POINTE DR
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-4833
Country	:	US
Telephone Number	:	586-202-0347
Fax Number	:

Provider Business Practice Location Address
First Line	:	42450 GARFIELD RD STE B
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-5040
Country	:	US
Telephone Number	:	586-202-0347
Fax Number	:

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/14/2022

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