Individual provider · Type 1 NPI

Lisa Youngman-Loose, LPC

Professional Counselor · Traverse City, MI

NPI number 1629437918 Active

Practice location

700 Hammond Rd E
Traverse City, MI 49686-8641

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

  • 203 E Cayuga St, Bellaire, MI 49615-9180 · (231) 533-8619
  • 1105 Sixth St, Traverse City, MI 49684-2345 · (231) 935-6380
  • 1050 Silver Dr, Traverse City, MI 49684-5749 · (231) 947-2255

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
Professional Counselor Primary 101YP2500X6401017908 (MI)

Professional Counselor: Definition to come...

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About NPI 1629437918

Lisa Youngman-Loose, LPC's National Provider Identifier is 1629437918, issued on Feb 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Traverse City, MI. The record was last updated on Nov 25, 2024.