person
Lasondra Wayne
Mental Health Counselor in Portage, Michigan
NPI 1881967909

Lasondra Wayne is a Mental Health Counselor based in Portage, MI and is specialized in Mental Health. Lasondra Wayne practices in Portage, MI. The NPI Number for Lasondra Wayne is 1881967909 and holds a License No. 6301015047 (Michigan).

The current practice location address for Lasondra Wayne is 7320 Garden Ln, Portage, MI and can be reached out via phone at 269-612-4432.

Location: 7320 Garden Ln, Portage, MI, 49002-4423
person
Provider Profile Details
NPI Number
1881967909
Provider Name
Lasondra Wayne
Credential
Provider Entity Type
Individual
Gender
Female
Address
7320 Garden Ln, Portage, MI, 49002-4423
Phone Number
269-612-4432
Fax Number
Provider Enumeration Date
02/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7320 Garden Ln
City
State
Zip
49002-4423
Phone Number
269-612-4432
Fax Number
person
Provider Business Mailing Address Details
Address
7320 Garden Ln
City
State
Zip
49002-4423
Phone Number
269-612-4432
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6301015047 (Michigan)
Definition
Definition to come...
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