Individual provider · Type 1 NPI
Paul Jannakos
Professional Counselor · Fenton, MI
NPI number
1023385481
Active
Practice location
2325 W Shiawassee Ave, Suite 105
Fenton, MI 48430-1792
Fax (810) 213-0132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | L118310 (MI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | L118310 (MI) |
| Marriage & Family Therapist | 106H00000X | L118310 (MI) |
| Mental Health Counselor | 101YM0800X | L118310 (MI) |
Professional Counselor: Definition to come...
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About NPI 1023385481
Paul Jannakos's National Provider Identifier is 1023385481, issued on Nov 29, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fenton, MI. The record was last updated on Oct 24, 2014.