Provider Demographics
NPI:1588700991
Name:ZOUAOUI, CHRISTINE DAVIS (LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:DAVIS
Last Name:ZOUAOUI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:DAVIS
Other - Last Name:PRZYSTAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2160 HAMILTON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-1774
Mailing Address - Country:US
Mailing Address - Phone:517-281-0644
Mailing Address - Fax:
Practice Address - Street 1:2160 HAMILTON RD
Practice Address - Street 2:SUITE C
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1774
Practice Address - Country:US
Practice Address - Phone:517-281-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007673101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional