Provider Demographics
NPI:1336279777
Name:FINNISTER, MONIQUE (LMSW,CAAC)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:
Last Name:FINNISTER
Suffix:
Gender:F
Credentials:LMSW,CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20651 W WARREN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2622
Mailing Address - Country:US
Mailing Address - Phone:313-271-3050
Mailing Address - Fax:313-336-3798
Practice Address - Street 1:20651 W WARREN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2622
Practice Address - Country:US
Practice Address - Phone:313-271-3050
Practice Address - Fax:313-336-3798
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010708391041C0700X
MIC-00506101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)