| Core Counseling Center Llc | |
|
1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 | |
| (616) 420-1060 | |
| Not Available |
| Full Name | Core Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1345 Monroe Ave Nw Ste 234, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tierra Youngblood-field (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6164201060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Counseling Center Llc 1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 Ph: () - | Core Counseling Center Llc 1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 Ph: (616) 420-1060 |
| NPI Number | 1205320561 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205320561 | NPI | - | NPPES |
| 1205320561 | Medicaid | MI |
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