Provider Demographics
NPI:1093837791
Name:VENET, ANNE M (MA,LLPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:VENET
Suffix:
Gender:F
Credentials:MA,LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20425 VILLA GRANDE CIR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5314
Mailing Address - Country:US
Mailing Address - Phone:586-263-6606
Mailing Address - Fax:
Practice Address - Street 1:43565 ELIZABETH ROAD
Practice Address - Street 2:
Practice Address - City:MT.CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043
Practice Address - Country:US
Practice Address - Phone:586-307-9640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional