| Mountain Vista Counseling | |
|
2661 S. Lapeer Rd. Suite 206 Lake Orion MI 48360 | |
| (248) 391-2606 | |
| Not Available |
| Full Name | Mountain Vista Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2661 S. Lapeer Rd., Lake Orion, Michigan |
| Authorized Official Name and Position | Karen Doris Shackelford (OWNER/THERAPIST) |
| Authorized Official Contact | 2483912606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Counseling 2661 S. Lapeer Rd. Suite 206 Lake Orion MI 48360 Ph: (248) 391-2606 | Mountain Vista Counseling 2661 S. Lapeer Rd. Suite 206 Lake Orion MI 48360 Ph: (248) 391-2606 |
| NPI Number | 1780254433 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780254433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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