| NPI | 1972053171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A DOUGLAS-LENARD Licensed Professional Counselor 989-916-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008904) |
| Additional Taxonomies | 251S00000X (Licence: MI 6401008904) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-02-10 |