person
Dr. Lisa Marie Mcilvenna, DMIN
Professional Counselor in Midland, Michigan
NPI 1043412240

Lisa Marie Mcilvenna is a Professional Counselor based in Troy, MI and is specialized in Professional. Lisa Marie Mcilvenna practices in Midland, MI and has the professional credentials of DMIN. The NPI Number for Lisa Marie Mcilvenna is 1043412240 and holds a License No. 6401010105 (Michigan).

The current practice location address for Lisa Marie Mcilvenna is 315 W Larkin St, Midland, MI and can be reached out via phone at 989-835-7511 and via fax at 898-357-5112.

Location: 315 W Larkin St, Midland, MI, 48098-2942
person
Provider Profile Details
NPI Number
1043412240
Provider Name
Lisa Marie Mcilvenna
Credential
DMIN
Provider Entity Type
Individual
Gender
Female
Address
315 W Larkin St, Midland, MI, 48098-2942
Phone Number
989-835-7511
Fax Number
898-357-5112
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
315 W Larkin St
City
State
Zip
48640
Phone Number
989-835-7511
Fax Number
898-357-5112
person
Provider Business Mailing Address Details
Address
315 W Larkin St
City
State
Zip
48640
Phone Number
989-835-7511
Fax Number
898-357-5112
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401010105 (Michigan)
Definition
Definition to come...
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