Provider Demographics
NPI:1619242682
Name:LIPAROTO, MARIA CATHERINE (COUNSELING)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CATHERINE
Last Name:LIPAROTO
Suffix:
Gender:F
Credentials:COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W ELM AVE APT 514
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-7916
Mailing Address - Country:US
Mailing Address - Phone:734-915-7124
Mailing Address - Fax:
Practice Address - Street 1:810 W ELM AVE APT 514
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-7916
Practice Address - Country:US
Practice Address - Phone:734-915-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007434101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor