Individual provider · NPI-1

Elizabeth Barthol

Counselor, Professional · Saint Clair Shores, MI

NPI number1801304860
StatusActive
Last updated in NPPESFeb 19, 2018

Details

NPI
1801304860
Entity type
Individual (NPI-1)
Name
Elizabeth Barthol
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2018
Last updated
Feb 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401014769MIYes

Practice location

22438 Lanse St
Saint Clair Shores, MI 48081-1369

Phone 586-360-7252 · Fax 586-360-7252

Mailing address

22438 Lanse St
Saint Clair Shores, MI 48081-1369

Phone 586-360-7252

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