Basic Information
Provider Information
NPI: 1649415969
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KULINSKA
FirstName: KAROLINA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: L.L.P.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11111 HALL ROAD
Address2: SUITE 303
City: UTICA
State: MI
PostalCode: 483175799
CountryCode: US
TelephoneNumber: 5867191437
FaxNumber: 5869974956
Practice Location
Address1: 11111 HALL ROAD
Address2: SUITE 303
City: UTICA
State: MI
PostalCode: 483175799
CountryCode: US
TelephoneNumber: 5869973153
FaxNumber: 5869974956
Other Information
ProviderEnumerationDate: 12/16/2008
LastUpdateDate: 12/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X  Y Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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