Individual
LAKIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
28525 PEMBROKE ST, LIVONIA, MI 48152-2026
(313) 729-5800
Mailing address
28525 PEMBROKE ST, LIVONIA, MI 48152-2026
(313) 729-5800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011441
MI
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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