NPI 1013083096
Marian Evelyn Lilly, LPC
Practice location
- Address
- 40 Jefferson Ave SE, Grand Rapids, MI 49503-4304
- Phone
- (616) 356-6247
- Fax
- (616) 732-6392
- Mailing address
- 809 E Judd St, Greenville, MI 48838-2447
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1013083096
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2006
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.