Provider Demographics
NPI:1154405843
Name:LOPRESTI, CAROL (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 TIFFANY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-6277
Mailing Address - Country:US
Mailing Address - Phone:616-437-6299
Mailing Address - Fax:
Practice Address - Street 1:221 TIFFANY RIDGE DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-6277
Practice Address - Country:US
Practice Address - Phone:616-437-6299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007136101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)