| Rachael Koeson, Msw, Llc | |
|
1422 Wealthy St Se Grand Rapids MI 49506-2717 | |
| (616) 818-8628 | |
| Not Available |
| Full Name | Rachael Koeson, Msw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1422 Wealthy St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rachael Koeson (THERAPIST) |
| Authorized Official Contact | 6168188628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Koeson, Msw, Llc 1761 Ball Ave Ne Grand Rapids MI 49505-5697 Ph: (616) 818-8628 | Rachael Koeson, Msw, Llc 1422 Wealthy St Se Grand Rapids MI 49506-2717 Ph: (616) 818-8628 |
| NPI Number | 1962183624 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962183624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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