Provider Demographics
NPI:1902257967
Name:CHOPE-MALISKA, REANA L (LLPC)
Entity Type:Individual
Prefix:
First Name:REANA
Middle Name:L
Last Name:CHOPE-MALISKA
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:REANA
Other - Middle Name:L
Other - Last Name:CHOPE-MALISKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:821 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-1075
Mailing Address - Country:US
Mailing Address - Phone:989-307-8784
Mailing Address - Fax:
Practice Address - Street 1:4572 S HAGADORN RD STE 1C
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5385
Practice Address - Country:US
Practice Address - Phone:517-481-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011843101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor