Provider Demographics
NPI:1770927147
Name:PAPAJESK, CARRISSA NICOLE
Entity type:Individual
Prefix:
First Name:CARRISSA
Middle Name:NICOLE
Last Name:PAPAJESK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 FONTAINBLEAU CT E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2421
Mailing Address - Country:US
Mailing Address - Phone:248-521-8237
Mailing Address - Fax:
Practice Address - Street 1:52188 VAN DYKE AVE STE 319
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3571
Practice Address - Country:US
Practice Address - Phone:248-690-6851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist