Individual
JOHN LOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAADC
Contact information
Practice address
107 HOWARD ST STE B, PETOSKEY, MI 49770-2409
(231) 838-5112
Mailing address
PO BOX 402, ALANSON, MI 49706-0402
(231) 838-5112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401006333
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401006333
MI
101YM0800X
Mental Health Counselor
6401006333
MI
101YP2500X
Professional Counselor
Primary
6401006333
MI
Other
Enumeration date
01/11/2014
Last updated
02/12/2018
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