Provider Demographics
NPI:1508916172
Name:MORGRIDGE, NANCY LORENE (MA LPC NCC CCJP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LORENE
Last Name:MORGRIDGE
Suffix:
Gender:F
Credentials:MA LPC NCC CCJP
Other - Prefix:
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Mailing Address - Street 1:1165 ELKVIEW DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-2055
Mailing Address - Country:US
Mailing Address - Phone:989-732-6761
Mailing Address - Fax:989-732-6763
Practice Address - Street 1:1165 ELKVIEW DR
Practice Address - Street 2:SUITE 3
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-2055
Practice Address - Country:US
Practice Address - Phone:989-732-6761
Practice Address - Fax:989-732-6763
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6401008128101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional