Individual
LISA DOUTHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC, BSW
Contact information
Practice address
306 W WILLOW ST, LANSING, MI 48906-4740
(517) 702-3500
(517) 484-5169
Mailing address
5031 PARK LAKE RD, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012198
MI
104100000X
Social Worker
6802074536
MI
Other
Enumeration date
04/27/2009
Last updated
11/30/2016
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