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1850 44th St Sw Wyoming MI 49519-4276 | |
| (616) 389-0788 | |
| (616) 317-4933 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1850 44th St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Valarie S James (OWNER) |
| Authorized Official Contact | 6162067255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2301 Wilson Ave Sw Grand Rapids MI 49534-6501 Ph: (616) 206-7255 | 1850 44th St Sw Wyoming MI 49519-4276 Ph: (616) 389-0788 |
| NPI Number | 1669138673 |
|---|---|
| Provider Enumeration Date | 11/14/2021 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669138673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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