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NPI Code Detail

MEDICARE: CHRISTINA NICOLE HADLEY LLPC

MEDICARE: CHRISTINA NICOLE HADLEY 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
1101Y00000XCounselor6401015360MI
2104100000XSocial Worker6802086236MI

General Provider Information

NPI Number : 1760881155
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA NICOLE HADLEY LLPC
Provider Business Mailing Address
First Line : 26954 LEROY ST
Second Line :
City : TAYLOR
State : MI
Zip : 48180-4815
Country : US
Telephone Number : 313-421-8941
Fax Number :
Provider Business Practice Location Address
First Line : 8600 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-2142
Country : US
Telephone Number : 313-875-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 12/08/2025

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