Provider Demographics
NPI:1033750427
Name:GRIFFITH, RICHARD G (LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:G
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1410
Mailing Address - Country:US
Mailing Address - Phone:517-332-5342
Mailing Address - Fax:517-332-3325
Practice Address - Street 1:6110 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-1410
Practice Address - Country:US
Practice Address - Phone:517-332-5342
Practice Address - Fax:517-332-3325
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional