Organization
LAKESIDE PROFESSIONAL COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA J LENTZ LPC (PRESIDENT)
(586) 932-2700
Entity
Organization
Contact information
Practice address
8072 21 MILE RD, SHELBY TOWNSHIP, MI 48317-4310
(586) 932-2700
(586) 932-2705
Mailing address
8072 21 MILE RD, SHELBY TOWNSHIP, MI 48317-4310
(586) 932-2700
(586) 932-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
10/21/2023
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