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NPI Code Detail

MEDICARE: MRS. LORRAINE MARCIA MCKNIGHT LPC

MEDICARE: MRS. LORRAINE MARCIA MCKNIGHT LPC
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
1101YM0800XMental Health Counselor6401007158MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16401007158OTHERMILICENSED PROFESSIONAL COUNSELOR

General Provider Information

NPI Number : 1861975724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORRAINE MARCIA MCKNIGHT LPC
Provider Business Mailing Address
First Line : 8981 BRISTOL CT
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-3204
Country : US
Telephone Number : 734-657-8454
Fax Number :
Provider Business Practice Location Address
First Line : 3830 PACKARD ST STE 250
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2273
Country : US
Telephone Number : 734-413-7988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 12/22/2022

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Directions to “ MRS. LORRAINE MARCIA MCKNIGHT LPC” Practice Location

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