Individual
LISA ALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P., L.P.C.
Contact information
Practice address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-5001
(616) 361-2166
Mailing address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-5001
(616) 361-2166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010273
MI
103TC1900X
Counseling Psychologist
Primary
6301013486
MI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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