Individual
PETER LASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 346-5204
(231) 922-4884
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 346-5204
(231) 922-4884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401017804
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401017804
—
MI
Enumeration date
12/04/2019
Last updated
12/04/2019
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