Provider Demographics
NPI:1992169460
Name:PALUSKAS, ANGEL MARIE (MS LPC NCC)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:MARIE
Last Name:PALUSKAS
Suffix:
Gender:
Credentials:MS LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28476 BARBARA LN
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138-2001
Mailing Address - Country:US
Mailing Address - Phone:734-556-2708
Mailing Address - Fax:
Practice Address - Street 1:2360 W JEFFERSON AVE STE 209
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-0139
Practice Address - Country:US
Practice Address - Phone:734-556-2708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401019101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401019101OtherCOUNSELING LICENSE