Individual
MR. RICHARD PAUL LIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MDIV, LPC
Contact information
Practice address
2900 HANNAH BLVD, SUITE B-107, EAST LANSING, MI 48823-5384
(517) 364-8087
(517) 364-8088
Mailing address
2900 HANNAH BLVD, SUITE B-107, EAST LANSING, MI 48823-5384
(517) 364-8087
(517) 364-8088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401006600
MI
101YP2500X
Professional Counselor
Primary
6401006600
MI
Other
Enumeration date
11/15/2012
Last updated
08/27/2014
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