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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ADAM LEE ANASTASOFF, M.A., L.P.C.

Active

MR. ADAM LEE ANASTASOFF, M.A., L.P.C. is a Professional Counselor healthcare provider located in IDA, Michigan. NPI 1194029991 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · IDA, MI

Registration Details

NPI Number
1194029991
Provider Type
Individual
Gender
Male
NPI Issued
Jan 7, 2011 (15.555661754922 yrs)
Last Updated
Jun 22, 2015
Licenses
6401011875 (MI)
6401011875 (MI)
6401011875 (MI)
6401011875 (MI)

Practice Information

Address
13316 IDA CENTER RD
IDA, MI, 481409722
Browse MI providers · Browse ZIP 48140
Phone
7343474950
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.