Individual
MRS. AMY MICHELLE BAIBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 541-2673
(517) 543-2656
Mailing address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 541-2673
(517) 543-2656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401009975
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20548
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/25/2007
Last updated
07/08/2007
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