Doctor Name: | RHONDA M EARLEY |
NPI Number: | 1013073535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6401005869 |
Business Practice Address: | 2165 Commons Pkwy Suite C Okemos, MI - 488643987 |
Business Phone Number: | 5173811770 |
Business Fax Number: | |
Mailing Address: | 2165 Commons Pkwy, Suite C OKEMOS |
State: | MI |
Postal Code: | 488643987 |
Phone Number: | 5173811770 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401005869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |