| Laura Meeker Wicksall Therapy Pllc | |
|
1430 Robinson Rd Se Ste 206 Grand Rapids MI 49506-1780 | |
| () - | |
| Not Available |
| Full Name | Laura Meeker Wicksall Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1430 Robinson Rd Se Ste 206, Grand Rapids, Michigan |
| Authorized Official Name and Position | Laura Meeker Wicksall (OWNER/THERAPIST) |
| Authorized Official Contact | 2314991063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Meeker Wicksall Therapy Pllc 1430 Robinson Rd Se Ste 206 Grand Rapids MI 49506-1780 Ph: (616) 438-6054 | Laura Meeker Wicksall Therapy Pllc 1430 Robinson Rd Se Ste 206 Grand Rapids MI 49506-1780 Ph: () - |
| NPI Number | 1497223424 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497223424 | NPI | - | NPPES |
| 1710390372 | Other | MI | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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