Provider Demographics
NPI:1326632845
Name:SALATRIK, MORRIGAN DANIELLE (MA, LPC, ATR)
Entity Type:Individual
Prefix:
First Name:MORRIGAN
Middle Name:DANIELLE
Last Name:SALATRIK
Suffix:
Gender:F
Credentials:MA, LPC, ATR
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:SWIFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LLPC, ATRP
Mailing Address - Street 1:21569 CLOCHETTE DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5405
Mailing Address - Country:US
Mailing Address - Phone:248-219-7958
Mailing Address - Fax:
Practice Address - Street 1:21569 CLOCHETTE DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5405
Practice Address - Country:US
Practice Address - Phone:248-219-7958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health