Individual
ANNE MARIE BICEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
2 CROCKER BLVD STE 101, MOUNT CLEMENS, MI 48043-2558
(586) 468-2266
(586) 468-4505
Mailing address
2 CROCKER BLVD STE 101, MOUNT CLEMENS, MI 48043-2558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000260F7
HAP
MI
05
—
032919
—
MI
01
—
750910776
BCBSCHRYSLER
MI
Enumeration date
02/22/2012
Last updated
10/23/2017
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