Provider Demographics
NPI:1336377506
Name:SPINA, CRISTINA (MA, LPC, NCC, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:
Last Name:SPINA
Suffix:
Gender:F
Credentials:MA, LPC, NCC, CAADC
Other - Prefix:MS
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:MARLEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC, CAADC
Mailing Address - Street 1:48339 ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-4942
Mailing Address - Country:US
Mailing Address - Phone:248-891-8464
Mailing Address - Fax:
Practice Address - Street 1:3950 S ROCHESTER RD
Practice Address - Street 2:SUITE 1400
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5160
Practice Address - Country:US
Practice Address - Phone:248-844-6234
Practice Address - Fax:248-844-6237
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI640101134101YP2500X
MI175799101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool