Individual
AMANDA L LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5036
(586) 412-5321
(586) 412-5327
Mailing address
6549 TOWN CENTER DR, SUITE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(249) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013578
MI
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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