Individual provider · Type 1 NPI
Lasondra Wayne
Mental Health Counselor · Portage, MI
NPI number
1881967909
Active
Practice location
7320 Garden Ln, Suite 106
Portage, MI 49002-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6301015047 (MI) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1881967909
Lasondra Wayne's National Provider Identifier is 1881967909, issued on Feb 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, MI. The record was last updated on Feb 21, 2012.