Christina Arlene Brady, MA, LPC
Individual provider Active NPI Counselor · Davison, MI
NPI 1780136580 · NPPES record last updated Oct 27, 2023
Key facts
- NPI
- 1780136580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401008710 (MI)
- Practice address
- 8121 Boulder Dr
Davison, MI 48423-8641 - Phone
- (810) 348-4665
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401008710 | MI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401008710 | MI | |
| Counselor | 101Y00000X | 6401008710 | MI | Yes |
Addresses
Primary practice location
8121 Boulder Dr
Davison, MI 48423-8641
Mailing address
8121 Boulder Dr
Davison, MI 48423-8641
Phone (810) 348-4665
Other names
- Ms. Christina Arlene Rodgers
Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.