Provider Demographics
NPI:1083851810
Name:NUNEZ, MARIANNA JANE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:MARIANNA
Middle Name:JANE
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 LAMPHERE LN
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9283
Mailing Address - Country:US
Mailing Address - Phone:517-425-4507
Mailing Address - Fax:517-437-7101
Practice Address - Street 1:11 E CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1619
Practice Address - Country:US
Practice Address - Phone:517-437-7100
Practice Address - Fax:517-437-7101
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE5577101YP2500X
MI6401012160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional