person
Lisa S. Deiters, LPC
Professional Counselor in Grand Rapids, Michigan
NPI 1538477328

Lisa S. Deiters is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Lisa S. Deiters practices in Grand Rapids, MI and has the professional credentials of LPC. The NPI Number for Lisa S. Deiters is 1538477328 and holds a License No. (Michigan).

The current practice location address for Lisa S. Deiters is 3300 36Th St Se, Grand Rapids, MI and can be reached out via phone at 616-942-2110.

Location: 3300 36Th St Se, Grand Rapids, MI, 49512-2810
person
Provider Profile Details
NPI Number
1538477328
Provider Name
Lisa S. Deiters
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3300 36Th St Se, Grand Rapids, MI, 49512-2810
Phone Number
616-942-2110
Fax Number
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538477328 05 MI
institution
Provider Business Practice Location Address Details
Address
3300 36Th St Se
City
State
Zip
49512-2810
Phone Number
616-942-2110
Fax Number
person
Provider Business Mailing Address Details
Address
3300 36Th St Se
City
State
Zip
49512-2810
Phone Number
616-942-2110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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