Individual
KATIE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(248) 840-2215
Mailing address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(248) 840-2215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012139
MI
101YP2500X
Professional Counselor
6401012139
MI
101YS0200X
School Counselor
IF0000000335965
MI
Other
Enumeration date
03/23/2015
Last updated
08/15/2023
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