Sacred Space Counseling | |
17214 Van Wagoner Rd Spring Lake MI 49456-9702 | |
(616) 405-4188 | |
(616) 935-1288 |
Full Name | Sacred Space Counseling |
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Speciality | Counselor - Professional |
Location | 17214 Van Wagoner Rd, Spring Lake, Michigan |
Authorized Official Name and Position | Robert Deckert (PRESIDENT) |
Authorized Official Contact | 6164054188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sacred Space Counseling 17214 Van Wagoner Rd Spring Lake MI 49456-9702 Ph: (616) 405-4188 | Sacred Space Counseling 17214 Van Wagoner Rd Spring Lake MI 49456-9702 Ph: (616) 405-4188 |
NPI Number | 1487902003 |
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Provider Enumeration Date | 08/29/2012 |
Last Update Date | 05/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487902003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401009234 (Michigan) | Primary |
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