| Kalamazoo Child And Family Counseling, Pllc | |
|
614 Romence Rd Ste 245 Portage MI 49024-3613 | |
| (269) 615-7637 | |
| Not Available |
| Full Name | Kalamazoo Child And Family Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 614 Romence Rd Ste 245, Portage, Michigan |
| Authorized Official Name and Position | Jeffrey Joseph Laponsie (OWNER) |
| Authorized Official Contact | 2696157637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Child And Family Counseling, Pllc 6838 Marlow St Portage MI 49024-3341 Ph: (269) 615-7637 | Kalamazoo Child And Family Counseling, Pllc 614 Romence Rd Ste 245 Portage MI 49024-3613 Ph: (269) 615-7637 |
| NPI Number | 1306293105 |
|---|---|
| Provider Enumeration Date | 05/21/2016 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306293105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801095368 (Michigan) | Primary |
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