| Gisela Rodriguez Lawson Llc | |
|
1930 W Milham Ave Ste C Portage MI 49024-2228 | |
| (269) 389-0382 | |
| Not Available |
| Full Name | Gisela Rodriguez Lawson Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1930 W Milham Ave Ste C, Portage, Michigan |
| Authorized Official Name and Position | Gisela R Lawson (CLINICAL THERAPIST) |
| Authorized Official Contact | 2697793701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gisela Rodriguez Lawson Llc 1930 W Milham Ave Ste C Portage MI 49024-2228 Ph: (269) 779-3701 | Gisela Rodriguez Lawson Llc 1930 W Milham Ave Ste C Portage MI 49024-2228 Ph: (269) 389-0382 |
| NPI Number | 1952118218 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952118218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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