Individual provider · Type 1 NPI

Lisa Marie McIlvenna, DMIN

Professional Counselor · Midland, MI

NPI number 1043412240 Active

Practice location

315 W Larkin St
Midland, MI 48640

Call (989) 835-7511 Map

Fax (898) 357-5112

Mailing address

5601 Houghten Dr
Troy, MI 48098-2942

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401010105 (MI)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1043412240

Lisa Marie McIlvenna, DMIN's National Provider Identifier is 1043412240, issued on Jun 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Midland, MI. The record was last updated on Jan 18, 2021.