Individual provider · Type 1 NPI
Lisa Goss, LLPC
Professional Counselor · Southgate, MI
NPI number
1023559986
Active
Practice location
13101 Allen Rd
Southgate, MI 48195-2216
Mailing address
30343 Berghway Trl
Warren, MI 48092-6331
Other practice locations
- 14799 Dix Toledo Rd, Southgate, MI 48195-2507 · (734) 324-8326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401014567 (MI) |
Professional Counselor: Definition to come...
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About NPI 1023559986
Lisa Goss, LLPC's National Provider Identifier is 1023559986, issued on Mar 12, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southgate, MI. The record was last updated on Nov 4, 2021.