Individual
LAURA CONSTABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
3075 E GRAND RIVER AVE STE 100, HOWELL, MI 48843-6585
(517) 741-0470
Mailing address
12402 WOODHULL LNDG, FENTON, MI 48430-9763
(810) 444-9801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023332
MI
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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