Provider Demographics
NPI:1518353051
Name:HARRINGTON, MARIE (MA,LLMFT,LLPC)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MA,LLMFT,LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N CROOKS RD
Mailing Address - Street 2:
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-1399
Mailing Address - Country:US
Mailing Address - Phone:248-430-6118
Mailing Address - Fax:
Practice Address - Street 1:710 N CROOKS RD
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1399
Practice Address - Country:US
Practice Address - Phone:248-430-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013256101YP2500X
MI4101006545106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional