Provider Demographics
NPI:1497484141
Name:GAJEWSKI, CLAUDIA (LLPC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:GAJEWSKI
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:HILAIRE GAJEWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LLPC
Mailing Address - Street 1:37625 PEMBROKE AVE
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1050
Mailing Address - Country:US
Mailing Address - Phone:734-469-0513
Mailing Address - Fax:
Practice Address - Street 1:37625 PEMBROKE AVE
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1050
Practice Address - Country:US
Practice Address - Phone:734-469-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451021921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health