CRYSTAL MARIE DEGRANDCHAMP (NPI# 1407377443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407377443 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE DEGRANDCHAMP |
| Credential | MA, LLPC |
| Practice Address |
1370 N. Oakland Blvd., Suite 105 Waterford MI 48327 |
| Mailing Address |
1370 N Oakland Blvd Ste 105 Waterford MI 48327-1572 |
| Practice Telephone | (248) 666-8870 |
| Practice Fax Number | 2486665023 |
| Mailing Telephone | 2486668870 |
| Mailing Fax Number | 2486665023 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401017548 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1370 N. OAKLAND BLVD., SUITE 105 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718939 | Kathleen Marie Dallas | Counselor | 301 S Williams Lake Rd, Waterford, MI 48327-3678 | 2020-07-24 |
| 1184263220 | Margaret Mary Harris | Counselor | 45 Pepperbox Rd, Waterford, CT 06385-3511 | 2020-01-06 |
| 1033698584 | Sheryl L Schumacher | Counselor | 811 Scott Lake Rd, Waterford, MI 48328-2547 | 2018-08-07 |
| 1740773381 | Life Pathways Counseling and Coaching, LLC | Counselor | 4345 Meigs Ave Ste 109, Waterford, MI 48329-1877 | 2018-06-08 |
| 1386149953 | Maricruz Avitia | Counselor | 5096 Harbor Oark Dr., Waterford, MI 48329-1726 | 2018-03-27 |
| 1235657719 | Marissa Elizabeth Mccarthy | Counselor | 38 Norman St, Waterford, CT 06385-2316 | 2017-09-05 |
| 1245774538 | Lajoy Harris | Counselor | 3525 Elizabeth Lake Rd Ste A, Waterford, MI 48328-3087 | 2016-12-06 |
| 1821469560 | Deborah Hockin | Counselor | 6695 Highland Rd, Suite 104a, Waterford, MI 48327-1651 | 2015-10-07 |
| 1023446820 | Barbara Robertson | Counselor | 3201 Howe Ct, Waterford, MI 48329-2785 | 2013-10-15 |
| 1417399916 | Thomas Andrew Wellington | Counselor | 12165 Trask Rd, Waterford, PA 16441-7707 | 2013-07-24 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.