MEDICARE: KATRINA SUAREZ

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	175T00000X	Peer Specialist
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		MI

General Provider Information

NPI Number	:	1730858317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA SUAREZ

Provider Business Mailing Address
First Line	:	120 S MAIN ST STE C
Second Line	:
City	:	MILFORD
State	:	MI
Zip	:	48381-1975
Country	:	US
Telephone Number	:	248-529-6383
Fax Number	:

Provider Business Practice Location Address
First Line	:	9237 ARLINGTON DR
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48198-9470
Country	:	US
Telephone Number	:	734-406-4572
Fax Number	:

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

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	12/19/2025

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Directions to “ KATRINA SUAREZ ” Practice Location

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