Individual
MRS. LORI ANN MATHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
29200 NORTHWESTERN HWY STE 110, SOUTHFIELD, MI 48034-1055
(248) 276-8000
Mailing address
634 FINCH CT, WALLED LAKE, MI 48390-3041
(248) 274-4463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012797
MI
Other
Enumeration date
07/18/2013
Last updated
12/29/2025
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