Individual
SABRINA LAVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2845 44TH ST SW STE 120, GRANDVILLE, MI 49418-2678
(616) 710-1295
Mailing address
2845 44TH ST SW STE 120, GRANDVILLE, MI 49418-2678
(616) 710-1295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018081
MI
Other
Enumeration date
02/17/2020
Last updated
11/30/2022
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