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Individual
LORI BONDALAPATI
Active
Individual
LORI BONDALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016252
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03704
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6401016252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518345545
—
MI
Enumeration date
05/11/2015
Last updated
08/28/2020
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