Lakeshore Community Counseling Center Pllc

NPI #1225376056 in Cadillac, Michigan

Provider Information

NPI Number
1225376056
Entity Type
Organization
Organization Name
Lakeshore Community Counseling Center Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 29, 2013
Last Updated
Jan 29, 2013

Practice Location

Address
9116 E 13TH ST
Address 2
SUITE B
ZIP Code
49601-8126
Phone
(231) 878-3059

Authorized Official

Name
DR. CRAIG ALLEN DERROR, PHD
Title
EXECUTIVE DIRECTOR
Phone
(231) 878-3059

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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