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Individual

MRS. PINA SANDRA NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
715 N LAPEER RD, LAKE ORION, MI 48362-1530
(248) 666-8870
Mailing address
3884 LONG MEADOW LN, ORION, MI 48359-1444
(248) 666-8870

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401010460
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010460
MI
101YM0800X
Mental Health Counselor
Primary
6401010460
MI

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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