| Miller-edwardson Counseling Plc | |
|
500 Cascade West Pkwy Se Ste 100 Grand Rapids MI 49546-2127 | |
| (269) 757-4867 | |
| Not Available |
| Full Name | Miller-edwardson Counseling Plc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 Cascade West Pkwy Se Ste 100, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller-edwardson Counseling Plc Po Box 10 Mason MI 48854-0010 Ph: () - | Miller-edwardson Counseling Plc 500 Cascade West Pkwy Se Ste 100 Grand Rapids MI 49546-2127 Ph: (269) 757-4867 |
| NPI Number | 1578119038 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578119038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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