Provider Demographics
NPI:1033707245
Name:VERONA, MICHAEL PAUL (PHD, LPC, CAADC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:VERONA
Suffix:
Gender:M
Credentials:PHD, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 BUCKINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9106
Mailing Address - Country:US
Mailing Address - Phone:412-600-2252
Mailing Address - Fax:
Practice Address - Street 1:122 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8900
Practice Address - Country:US
Practice Address - Phone:989-292-3432
Practice Address - Fax:517-668-2626
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018736101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)