Individual
HALEY LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVENUE, PORT HURON, MI 48060
(810) 985-8900
Mailing address
3111 ELECTRIC AVENUE, PORT HURON, MI 48060
(810) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
09/27/2019
Last updated
08/31/2023
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