Basic Information
| Provider Information | |||||||||
| NPI: | 1740331255 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOKERS | ||||||||
| FirstName: | DAN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8221 ROGUE RDG NE | ||||||||
| Address2: | |||||||||
| City: | ROCKFORD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 493419151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168666788 | ||||||||
| FaxNumber: | 6169429548 | ||||||||
| Practice Location | |||||||||
| Address1: | 8221 ROGUE RDG NE | ||||||||
| Address2: | |||||||||
| City: | ROCKFORD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 493419151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168666788 | ||||||||
| FaxNumber: | 6169429548 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6401001643 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.