Provider Demographics
NPI:1255455473
Name:SKIERA, JAMES MICHAEL (MSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:SKIERA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S MITCHELL ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2571
Mailing Address - Country:US
Mailing Address - Phone:231-775-6581
Mailing Address - Fax:231-775-5421
Practice Address - Street 1:421 S MITCHELL ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2571
Practice Address - Country:US
Practice Address - Phone:231-775-6581
Practice Address - Fax:231-775-5421
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801013909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health