Individual
MS. SHARON ROSE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1200 N TELEGRAPH RD BLDG 32, PONTIAC, MI 48341-1032
(248) 456-1991
Mailing address
24609 CULVER ST, SAINT CLAIR SHORES, MI 48080-3124
(248) 631-6703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401009025
STATE LICENSURE NUMBER
—
Enumeration date
08/06/2007
Last updated
07/21/2022
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