| Codi M Ponte Counseling Llc | |
|
1680 E Paris Ave Se Grand Rapids MI 49546-8809 | |
| (616) 893-6832 | |
| Not Available |
| Full Name | Codi M Ponte Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1680 E Paris Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Codi Ponte (OWNER) |
| Authorized Official Contact | 6168936832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codi M Ponte Counseling Llc 1680 E Paris Ave Se Ste 200 Grand Rapids MI 49546-8809 Ph: (616) 893-6832 | Codi M Ponte Counseling Llc 1680 E Paris Ave Se Grand Rapids MI 49546-8809 Ph: (616) 893-6832 |
| NPI Number | 1215632534 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215632534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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