| Choices For Change | |
|
218 W Walnut St Kalamazoo MI 49007-5131 | |
| (269) 344-7997 | |
| Not Available |
| Full Name | Choices For Change |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 218 W Walnut St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Alice Leonora Koss (THERAPIST) |
| Authorized Official Contact | 2693447997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices For Change 6418 Cypress Streeet Portage MI 49002 Ph: (269) 327-3144 | Choices For Change 218 W Walnut St Kalamazoo MI 49007-5131 Ph: (269) 344-7997 |
| NPI Number | 1376765743 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376765743 | NPI | - | NPPES |
| 6301008528 | Other | MI | LIMITED LICENSED PSYCHOLO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301008528 (Michigan) | Primary |
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