Doctor Name: | LISA ANN OGREN |
NPI Number: | 1073661443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC LBSW CRC CCFC |
License Number: | 6401002806 027890 |
Business Practice Address: | 1218 Greenwood Jackson, MI - 49201 |
Business Phone Number: | 5179900596 |
Business Fax Number: | 5779901280 |
Mailing Address: | 1200 N West Ave, Suite #400 JACKSON |
State: | MI |
Postal Code: | 49202 |
Phone Number: | 5177803336 |
Fax Number: | 5177964561 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401002806 027890 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |