Individual
LAUREN VANVALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
33050 MYRNA DR, LIVONIA, MI 48154-2914
(734) 716-3064
Mailing address
33050 MYRNA DR, LIVONIA, MI 48154-2914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401224745
MI
101YP2500X
Professional Counselor
Primary
6401224745
MI
Other
Enumeration date
08/08/2025
Last updated
08/19/2025
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