| Path Forward Counseling, Llc | |
|
949 Wealthy St Se Ste 205 Grand Rapids MI 49506-1596 | |
| (616) 226-9238 | |
| Not Available |
| Full Name | Path Forward Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 949 Wealthy St Se Ste 205, Grand Rapids, Michigan |
| Authorized Official Name and Position | Michael Lee Jankowski (OWNER/THERAPIST) |
| Authorized Official Contact | 6162269238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Forward Counseling, Llc 102 Fitzhugh Ave Se Grand Rapids MI 49506-1566 Ph: (616) 226-9238 | Path Forward Counseling, Llc 949 Wealthy St Se Ste 205 Grand Rapids MI 49506-1596 Ph: (616) 226-9238 |
| NPI Number | 1528730389 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528730389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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