Colleen Kay Chupa

NPI #1235728148 in Pontiac, Michigan

Provider Information

NPI Number: 1235728148
Entity Type: Individual
Name: Colleen Kay Chupa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 14, 2021
Last Updated: Jan 14, 2021

Practice Location

Address: 1685 BALDWIN AVE STE 100
City: Pontiac
State: Michigan
ZIP Code: 48340-1242
Phone: (248) 475-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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