person
Mrs. Lora Diane Maxson, LLPC
Professional Counselor in Detroit, Michigan
NPI 1104117365

Lora Diane Maxson is a Professional Counselor based in Dearborn Heights, MI and is specialized in Professional. Lora Diane Maxson practices in Detroit, MI and has the professional credentials of LLPC. The NPI Number for Lora Diane Maxson is 1104117365 and holds a License No. 6401011557 (Michigan).

The current practice location address for Lora Diane Maxson is 79 W Alexandrine St, Detroit, MI and can be reached out via phone at 313-221-1438.

Location: 79 W Alexandrine St, Detroit, MI, 48125-1552
person
Provider Profile Details
NPI Number
1104117365
Provider Name
Lora Diane Maxson
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
79 W Alexandrine St, Detroit, MI, 48125-1552
Phone Number
313-221-1438
Fax Number
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 W Alexandrine St
City
State
Zip
48201-2015
Phone Number
313-221-1438
Fax Number
person
Provider Business Mailing Address Details
Address
79 W Alexandrine St
City
State
Zip
48201-2015
Phone Number
313-221-1438
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401011557 (Michigan)
Definition
Definition to come...
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