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Victoria Evangelista
Counselor in Clarkston, Michigan
NPI 1326439399

Victoria Evangelista is a Counselor based in Superior Township, MI. Victoria Evangelista practices in Clarkston, MI. The NPI Number for Victoria Evangelista is 1326439399 and holds a License No. (Michigan).

The current practice location address for Victoria Evangelista is 6548 Town Center Dr Ste D, Clarkston, MI and can be reached out via phone at 586-244-8052.

Location: 6548 Town Center Dr Ste D, Clarkston, MI, 48198-3587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326439399
Provider Name
Victoria Evangelista
Credential
Provider Entity Type
Individual
Gender
Female
Address
6548 Town Center Dr Ste D, Clarkston, MI, 48198-3587
Phone Number
586-244-8052
Fax Number
Provider Enumeration Date
02/12/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 MI
1326439399 05 MI
institution
Provider Business Practice Location Address Details
Address
6548 Town Center Dr Ste D
City
Clarkston
State
Michigan
Zip
48346-4823
Phone Number
586-244-8052
Fax Number
person
Provider Business Mailing Address Details
Address
6548 Town Center Dr Ste D
City
Clarkston
State
Michigan
Zip
48346-4823
Phone Number
586-244-8052
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401019743 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6401017276 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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