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Provider Information for 1487934592


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Ms. LOIS A. MCCRONE M.A., LPC


Sex: Female

NPI: 1487934592
Last Updated: 2015-01-07
Certification Date:

Details

NameValue
NPI1487934592
Enumeration Date2011-08-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1750 E GRAND RIVER AVE
SUITE 103
EAST LANSING, MI 48823-4958
United States

Phone: 517-333-7113 | Fax:517-333-7125
 
Primary Practice Address 1750 E GRAND RIVER AVE
SUITE 103
EAST LANSING, MI 48823-4958
United States

Phone: 517-333-7113 | Fax:517-333-7125
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX2829715-01
Other (non-Medicare)TX8096LCBC/BS
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMI6401013729
No 101YP2500X - Counselor - ProfessionalTX65816