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Individual

DR. CARISSA PINTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD,LPC, ATR-BC

Contact information

Practice address
376 HILTON SUITE B, FERNDALE, MI 48220
(248) 200-9962
(734) 324-1566
Mailing address
2425 DALLAS AVE, ROYAL OAK, MI 48067-3584
(248) 200-9962

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012259
MI
101YM0800X
Mental Health Counselor
6401012259
MI
103T00000X
Psychologist
6351000427
MI
221700000X
Art Therapist
08-156
MI

Other

Enumeration date
12/17/2008
Last updated
08/12/2022
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