| Loretta Pickford, LPC, Ncc | |
|
4101 W Forest Rd Lake City MI 49651-9710 | |
| (231) 434-8587 | |
| Not Available |
| Full Name | Loretta Pickford, LPC, Ncc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4101 W Forest Rd, Lake City, Michigan |
| Authorized Official Name and Position | Loretta Kay Pickford (OWNER) |
| Authorized Official Contact | 2314348587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Pickford, LPC, Ncc 4101 W Forest Rd Lake City MI 49651-9710 Ph: (231) 434-8587 | Loretta Pickford, LPC, Ncc 4101 W Forest Rd Lake City MI 49651-9710 Ph: (231) 434-8587 |
| NPI Number | 1578202115 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578202115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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