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Ms. Sharon Rose Vitale, MA
Mental Health Counselor in Pontiac, Michigan
NPI 1629269576

Sharon Rose Vitale is a Mental Health Counselor based in Saint Clair Shores, MI and is specialized in Mental Health. Sharon Rose Vitale practices in Pontiac, MI and has the professional credentials of MA. The NPI Number for Sharon Rose Vitale is 1629269576 and holds a License No. 6401009025 (Michigan).

The current practice location address for Sharon Rose Vitale is 1200 N Telegraph Rd Bldg 32, Pontiac, MI and can be reached out via phone at 248-456-1991.

Location: 1200 N Telegraph Rd Bldg 32, Pontiac, MI, 48080-3124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629269576
Provider Name
Sharon Rose Vitale
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1200 N Telegraph Rd Bldg 32, Pontiac, MI, 48080-3124
Phone Number
248-456-1991
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401009025 01 STATE LICENSURE NUMBER
institution
Provider Business Practice Location Address Details
Address
1200 N Telegraph Rd Bldg 32
City
Pontiac
State
Michigan
Zip
48341-1032
Phone Number
248-456-1991
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N Telegraph Rd Bldg 32
City
Pontiac
State
Michigan
Zip
48341-1032
Phone Number
248-456-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401009025 (Michigan)
Definition
Definition to come...
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