Provider Demographics
NPI:1295024982
Name:CARRINGTON, MONICA (MRC, CRC, LPC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:MRC, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46036 MICHIGAN AVE # 111
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2304
Mailing Address - Country:US
Mailing Address - Phone:888-726-5632
Mailing Address - Fax:888-726-5632
Practice Address - Street 1:533 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2649
Practice Address - Country:US
Practice Address - Phone:888-726-5632
Practice Address - Fax:888-726-5632
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
79154225C00000X
MI6401012332101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor