Lisa Youngman-Loose, LPC
Counselor, Professional in Traverse City, MI. Individual provider (NPI-1).
NPI number1629437918
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1629437918
- Entity type
- Individual (NPI-1)
- Name
- Lisa Youngman-Loose
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2016
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401017908 | MI | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
700 Hammond Rd ETraverse City, MI 49686-8641
Phone 231-947-2255
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Other practice locations
203 E Cayuga St
Bellaire, MI 49615-9180
Bellaire, MI 49615-9180
Phone 231-533-8619
1105 Sixth St
Traverse City, MI 49684-2345
Traverse City, MI 49684-2345
Phone 231-935-6380 · Fax 231-935-6920
1050 Silver Dr
Traverse City, MI 49684-5749
Traverse City, MI 49684-5749
Phone 231-947-2255
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