Individual
JACOB MICHAEL LAZAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
307 E MICHIGAN ST, MT PLEASANT, MI 48858-2641
(989) 854-1213
Mailing address
1840 OAKLAND DR, MT PLEASANT, MI 48858-1260
(989) 854-1213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014715
MI
Other
Enumeration date
08/29/2017
Last updated
07/25/2022
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