Provider Demographics
NPI:1750596987
Name:LAPORTE, LYNN C (LPC, CAC-II)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:C
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:LPC, CAC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-9597
Mailing Address - Country:US
Mailing Address - Phone:906-786-9639
Mailing Address - Fax:906-789-8146
Practice Address - Street 1:2920 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-9597
Practice Address - Country:US
Practice Address - Phone:906-786-9639
Practice Address - Fax:906-789-8146
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401001042101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)