Individual
ADRIENNE FRAGATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 UNION LAKE RD STE 219, COMMERCE TOWNSHIP, MI 48382-3526
(313) 319-6133
Mailing address
630 W COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-3925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6451022799
MI
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6451022799
—
MI
Enumeration date
02/14/2023
Last updated
02/14/2023
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