Individual
CARRIE QUISENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
5123 W ST JOE HWY, LANSING, MI 48917-4093
(517) 323-4099
Mailing address
5123 W ST JOE HWY, LANSING, MI 48917-4093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014252
MI
101YS0200X
School Counselor
188215
MI
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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