Doctor Name: | MS. LAUREL J. POPP |
NPI Number: | 1992146617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LLPC |
License Number: | 6401013733 |
Business Practice Address: | 11111 Hall Rd Ste 300 Utica, MI - 483175711 |
Business Phone Number: | 5869973153 |
Business Fax Number: | 5869974956 |
Mailing Address: | 11111 Hall Rd, Ste 300 UTICA |
State: | MI |
Postal Code: | 483175711 |
Phone Number: | 5869973153 |
Fax Number: | 5869974956 |
NPI Enumeration Date: | 07/10/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013733 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |