Individual
LISA LAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5340 PLYMOUTH RD STE 110, ANN ARBOR, MI 48105-9558
(734) 929-7455
Mailing address
3837 DEERFIELD DR, JACKSON, MI 49203-1106
(734) 929-7455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851117565
MI
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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