Todd E Anglebrandt, BS, CAC-II

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lapeer, MI

NPI 1619082195 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619082195
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
2-00816 (MI)
Practice address
1800 Imlay City Rd
Lapeer, MI 48446-3208
Phone
(810) 245-5689
Fax
(810) 245-5676
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2-00816MIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-00816 MI Yes

Addresses

Primary practice location

1800 Imlay City Rd
Lapeer, MI 48446-3208

Mailing address

3117 W Oregon Rd
Lapeer, MI 48446-7701
Phone (810) 334-8165

Other providers in Lapeer, MI

All providers in Lapeer, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.