| Fan-saarela Llc | |
|
2450 44th St Se Ste 302 Kentwood MI 49512-9081 | |
| (616) 886-7076 | |
| Not Available |
| Full Name | Fan-saarela Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2450 44th St Se Ste 302, Kentwood, Michigan |
| Authorized Official Name and Position | Xuejing Fan (CLINICAL THERAPIST) |
| Authorized Official Contact | 6168867076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fan-saarela Llc 229 Westown Dr Nw Apt 201 Grand Rapids MI 49534-3697 Ph: (616) 886-7076 | Fan-saarela Llc 2450 44th St Se Ste 302 Kentwood MI 49512-9081 Ph: (616) 886-7076 |
| NPI Number | 1770332777 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770332777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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