Individual
LAKEN RACHELLE COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 248-5224
Mailing address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 248-5442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017223
MI
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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