Individual
MRS. LISA MARIE CONSTANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
41081 ANN ARBOR RD, PLYMOUTH, MI 48170
(734) 233-9494
(734) 233-9490
Mailing address
48192 COVINGTON CT, CANTON, MI 48187-5482
(734) 516-5806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013267
MI
Other
Enumeration date
07/06/2011
Last updated
08/04/2016
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