Individual
MS. MARYANN RIGONI-SOUTHLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP, LLPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008766
MI
103TC1900X
Counseling Psychologist
6301011550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54949
NBCC #
—
01
—
6301011550
LLP LICENSE #
MI
01
—
6401008766
LLPC LICENSE #
MI
Enumeration date
01/17/2006
Last updated
12/20/2019
Update your record
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