Individual
ANALENA LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 458-4601
Mailing address
20059 LICHFIELD RD, DETROIT, MI 48221-1335
(248) 660-6040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016497
MI
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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