Individual
PYPER SHAE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4273 CORPORATE DR, MOUNT PLEASANT, MI 48858-5321
(989) 953-4357
Mailing address
4273 CORPORATE DR, MOUNT PLEASANT, MI 48858-5321
(989) 953-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/17/2019
Last updated
12/02/2023
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