Provider Demographics
NPI:1366167017
Name:FLORES, CHRISTINE ROCHELLE (LLMSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ROCHELLE
Last Name:FLORES
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KARMANOS CANCER INSTITUTE
Mailing Address - Street 2:31995 NORTHWESTERN HWY
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-538-4836
Mailing Address - Fax:248-538-4761
Practice Address - Street 1:KARMANOS CANCER INSTITUTE
Practice Address - Street 2:31995 NORTHWESTERN HWY
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-538-4836
Practice Address - Fax:248-538-4761
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker