Provider Demographics
NPI:1255920641
Name:LAFAVE, KARI LYN (LPC)
Entity type:Individual
Prefix:MISS
First Name:KARI
Middle Name:LYN
Last Name:LAFAVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2063 STILLWATER DR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2032
Mailing Address - Country:US
Mailing Address - Phone:810-691-1765
Mailing Address - Fax:
Practice Address - Street 1:2063 STILLWATER DR
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2032
Practice Address - Country:US
Practice Address - Phone:810-691-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health