Individual provider · Type 1 NPI
Lavita Modest, MA, LLPC
Professional Counselor · Warren, MI
NPI number
1689059925
Active
Practice location
11443 E 13 Mile Rd Ste 401
Warren, MI 48093-6523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | L823027 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1689059925
Lavita Modest, MA, LLPC's National Provider Identifier is 1689059925, issued on Jul 28, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Warren, MI. The record was last updated on Jul 28, 2015.