Individual
MRS. JOAN FRANCES LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP, LPC
Contact information
Practice address
6024 W MAPLE RD, SUITE 107, WEST BLOOMFIELD, MI 48322-4405
(248) 489-1550
(248) 489-9767
Mailing address
6024 W MAPLE RD, SUITE 107, WEST BLOOMFIELD, MI 48322-4405
(248) 489-1550
(248) 489-9767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010065
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301008586
MI
103TC0700X
Clinical Psychologist
Primary
6361001644
MI
Other
Enumeration date
05/27/2006
Last updated
03/10/2021
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