Provider Demographics
NPI:1255905980
Name:MUNIR, MONICA LYNN (LLMFT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:MUNIR
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 DIXIE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-5102
Mailing Address - Country:US
Mailing Address - Phone:734-560-8200
Mailing Address - Fax:
Practice Address - Street 1:7300 DIXIE HWY STE 300
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5102
Practice Address - Country:US
Practice Address - Phone:734-560-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001012106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist