Individual
MRS. LORRAINE MARCIA MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3830 PACKARD ST STE 250, ANN ARBOR, MI 48108-2273
(734) 413-7988
Mailing address
8981 BRISTOL CT, YPSILANTI, MI 48198-3204
(734) 657-8454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401007158
LICENSED PROFESSIONAL COUNSELOR
MI
Enumeration date
09/07/2018
Last updated
12/22/2022
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