CHRISTINA M PETZEL


Address: 500 10th St, Port Huron, MI 48060-4477
Phone: 8003953223

CHRISTINA M PETZEL (NPI# 1104042548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104042548
Entity Type Individual
Full Name CHRISTINA M PETZEL
Credential LPC
Practice Address 500 10th St
Port Huron
MI 48060-4477
Mailing Address 6549 Town Center Dr Ste A
Clarkston
MI 48346-4824
Practice Telephone 8003953223
Practice Fax Number 8333296632
Mailing Telephone 8003953223
Mailing Fax Number 8333296632
Enumeration Date 2007-04-17
Last Update Date 2020-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 6401009035 MI Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
6401009035 MI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Crocker Blvd, Suite 101, Mt Clemens, MI 480432558 5864682266 5864684505

Office Location

Street Address 500 10TH ST
City PORT HURON
State MI
Zip Code 48060-4477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982795845 James Thomas King Sr. Social Worker 500 10th St, Port Huron, MI 48060-4477 2006-09-27
1619588183 Erica Bazydlo Registered Nurse 500 10th St, Port Huron, MI 48060-4477 2020-08-10
1679115232 Ismail B. Sendi, Md, PC Clinic/Center 500 10th St, Port Huron, MI 48060-4477 2019-10-15
1194204149 Nora E. Avers Counselor 500 10th St, Port Huron, MI 48060-4477 2018-08-10
1740770114 Jennifer Lynn Fehn Counselor 500 10th St, Port Huron, MI 48060-4477 2018-05-11
1295257525 James Leon Stevens Social Worker 500 10th St, Port Huron, MI 48060-4477 2017-07-07
1588050462 Rusmira Bektas Counselor 500 10th St, Port Huron, MI 48060-4477 2015-04-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740897297 Casey Edward Bicker Behavior Technician 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 2020-09-29
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
1982123006 Kenneth Shine Heuvelman Counselor 3522 Holland Park Ln, Port Huron, MI 48060 2017-09-11
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1326418609 Jean Burleigh Chore Provider 614 Staton, Port Huron, MI 48060 2015-09-30
1205242161 Lisa Gray Counselor 2885 W Rick Dr, Port Huron, MI 48060 2014-07-10
1861758880 Aaron Overly Surgery 2609 Electric Ave Ste B&, Port Huron, MI 48060 2012-04-03
1942591508 S Akram Ali Surgery 3270 Waldheim Dr, Port Huron, MI 48060 2011-04-29
1417258179 Nicholas Alexander Tobianski Physician Assistant 3550 Pine Grove Avenue, Port Huron, MI 48060 2010-11-11
1598092769 Blue Water Pharmacy LLC Pharmacy 1524 10th Street, Port Huron, MI 48060 2009-11-10
Find all providers in zip 48060

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265899934 Laura Atherton Counselor 1412 18th St, Port Huron, MI 48060-5623 2016-01-26
1780014464 Shari Smith Counselor 1111 Pine Grove Ave, Port Huron, MI 48060-3565 2013-11-18
1124089164 Gregory J Dudzinski Counselor 3003 Barlow St, Port Huron, MI 48060-6952 2006-03-29
1902363559 Tammy Beebe Counselor 1101 Military St, Port Huron, MI 48060-5418 2019-03-01
1194204149 Nora E. Avers Counselor 500 10th St, Port Huron, MI 48060-4477 2018-08-10
1225523780 Willis Advanced Counseling Services Counselor 805 Superior St Ste A, Port Huron, MI 48060 2018-06-27
1922592559 Lighthouse Counseling & Testing Services, Pllc Counselor 805 Superior St Ste A, Port Huron, MI 48060 2018-06-18
1740770114 Jennifer Lynn Fehn Counselor 500 10th St, Port Huron, MI 48060-4477 2018-05-11
1104315589 Shari Lynn Muxlow Counselor 309 Huron Ave Ste B, Port Huron, MI 48060-3869 2018-05-01
1235634908 Annette Lynn Maxwell Counselor 805 Superior St, Port Huron, MI 48060-3771 2018-03-26
Find all providers in PORT HURON

Competitor

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City PORT HURON
Zip Code 48060

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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