PAUL JANNAKOS NPI 1023385481

NPI Information

NPI: 1023385481
Provider Name: PAUL JANNAKOS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2325 W SHIAWASSEE AVE
SUITE 105
FENTON, MI
ZIP 48430
Phone: (810) 965-8670
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Paul Jannakos is a professional counselor in Fenton, MI. Paul Jannakos NPI is 1023385481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2325 W SHIAWASSEE AVE
SUITE 105
FENTON, MI
ZIP 48430-792
Phone: (810) 965-8670
Fax: (810) 213-0132

The enumeration date for this NPI number is 11/29/2011 and was last updated on 10/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	L118310	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	L118310	MICHIGAN	No
3	101YP2500X	Counselor	Professional	L118310	MICHIGAN	Yes
4	106H00000X	Marriage & Family Therapist		L118310	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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