Provider Demographics
NPI:1811387913
Name:MAKAROV, CHRISTINA MARIA (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIA
Last Name:MAKAROV
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIA
Other - Last Name:ZABLOCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13533 BRIAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117-9203
Mailing Address - Country:US
Mailing Address - Phone:248-933-3170
Mailing Address - Fax:
Practice Address - Street 1:11126 WAYNE RD
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1473
Practice Address - Country:US
Practice Address - Phone:734-322-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014187101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional