Whalio Doctors

NPI 1013083096

Marian Evelyn Lilly, LPC

Practitioner Mental Health Counselor Grand Rapids, MI

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
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6401008098 (MI)

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.