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401 Hall St Sw Ste 112j Grand Rapids MI 49503-6501 | |
| (616) 719-7164 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 Hall St Sw Ste 112j, Grand Rapids, Michigan |
| Authorized Official Name and Position | Keisha Mcdonald-griffin (OWNER) |
| Authorized Official Contact | 6167197164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
401 Hall St Sw Ste 112j Grand Rapids MI 49503-6501 Ph: (616) 719-7164 | 401 Hall St Sw Ste 112j Grand Rapids MI 49503-6501 Ph: (616) 719-7164 |
| NPI Number | 1134701774 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134701774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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