Provider Demographics
NPI:1578087938
Name:CAPADAGLI, MARQUE SPITER (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:MARQUE
Middle Name:SPITER
Last Name:CAPADAGLI
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BEECHWOODE LN
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2200
Mailing Address - Country:US
Mailing Address - Phone:248-606-8587
Mailing Address - Fax:
Practice Address - Street 1:9460 S SAGINAW RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8225
Practice Address - Country:US
Practice Address - Phone:810-695-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional