Individual provider · Type 1 NPI
Lisa Ann Page
Addiction (Substance Use Disorder) Counselor · Waterford, MI
NPI number
1467577510
Active
Practice location
3720 Elizabeth Lake Rd
Waterford, MI 48328-3014
Fax (248) 681-0799
Mailing address
34 Baycrest St
Waterford, MI 48327-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6803085433 (MI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2-00947 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467577510
Lisa Ann Page's National Provider Identifier is 1467577510, issued on Mar 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterford, MI. The record was last updated on Aug 30, 2023.