Individual provider · Type 1 NPI

Laura Jane Pittsley, LPC, MT-BC, GC-C

Professional Counselor · Kentwood, MI

NPI number 1376266684 Active

Practice location

1403 60th St SE
Kentwood, MI 49508-7065

Call (616) 805-3660 Map

Mailing address

1791 Waterbury Dr SE
Kentwood, MI 49508-6365

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401226678 (MI)

Professional Counselor: Definition to come...

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About NPI 1376266684

Laura Jane Pittsley, LPC, MT-BC, GC-C's National Provider Identifier is 1376266684, issued on Sep 21, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kentwood, MI. The record was last updated on Oct 29, 2026.