Individual
MS. LISA D TENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CRC
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
(517) 336-4797
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
(517) 336-4797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1132759
MI
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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