Individual
PAUL JANNAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
L118310
MI
101YM0800X
Mental Health Counselor
L118310
MI
101YP2500X
Professional Counselor
Primary
L118310
MI
106H00000X
Marriage & Family Therapist
L118310
MI
Other
Enumeration date
11/29/2011
Last updated
10/24/2014
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