MEDICARE: LAUREN MAGUIRE MA, SCL, LLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6401017923	MI

General Provider Information

NPI Number	:	1467034272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MAGUIRE MA, SCL, LLPC

Provider Business Mailing Address
First Line	:	1553 LEXINGTON ST
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-1022
Country	:	US
Telephone Number	:	231-499-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	1553 LEXINGTON ST
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-1022
Country	:	US
Telephone Number	:	231-499-8907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

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