Mountain Vista Counseling
NPI #1780254433 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1780254433
- Entity Type
- Organization
- Organization Name
- Mountain Vista Counseling
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 25, 2021
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 2661 S. LAPEER RD.
- Address 2
- SUITE 206
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360
- Phone
- (248) 391-2606
Authorized Official
- Name
- MRS. KAREN DORIS SHACKELFORD, LPC
- Title
- OWNER/THERAPIST
- Phone
- (248) 391-2606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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