Provider Demographics
NPI:1982653861
Name:KASINEC, MICHELLE (PHD, LPC, CAADC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:KASINEC
Suffix:
Gender:F
Credentials:PHD, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 S LAPEER RD STE B
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6511
Mailing Address - Country:US
Mailing Address - Phone:248-891-2255
Mailing Address - Fax:248-969-2299
Practice Address - Street 1:826 S LAPEER RD STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6511
Practice Address - Country:US
Practice Address - Phone:248-891-2255
Practice Address - Fax:248-969-2299
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008842101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health