Individual
LISA ANN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 ELIZABETH LAKE RD, WATERFORD, MI 48328-3014
(248) 884-6771
(248) 681-0799
Mailing address
34 BAYCREST ST, WATERFORD, MI 48327-3714
(248) 682-5842
(248) 738-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00947
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6803085433
MI
Other
Enumeration date
03/20/2007
Last updated
08/30/2023
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