| Lake Therapeutic, Pllc | |
|
114 W Chisholm St Alpena MI 49707-2446 | |
| (989) 461-4825 | |
| Not Available |
| Full Name | Lake Therapeutic, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 114 W Chisholm St, Alpena, Michigan |
| Authorized Official Name and Position | Mary Crittenden (OWNER) |
| Authorized Official Contact | 9894648871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Therapeutic, Pllc 114 W Chisholm St Alpena MI 49707-2446 Ph: (989) 461-4825 | Lake Therapeutic, Pllc 114 W Chisholm St Alpena MI 49707-2446 Ph: (989) 461-4825 |
| NPI Number | 1528946845 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528946845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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