Individual provider · NPI-1

Christine Armada Alcantara, LMSW

Social Worker, Clinical · Saint Clair Shores, MI

NPI number1023612090
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1023612090
Entity type
Individual (NPI-1)
Name
Christine Armada Alcantara
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801115895MIYes

Practice location

23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756

Phone 810-392-2167

Mailing address

40 Roslyn Rd
Grosse Pointe Shores, MI 48236-1321

Phone 313-402-5861

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