Individual
LAKEISHA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 PARKLANE BLVD STE 1200E, DEARBORN, MI 48126-4244
(734) 707-8354
Mailing address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(248) 970-9077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401223232
LPC
MI
Enumeration date
04/10/2017
Last updated
01/18/2024
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