SHASTA LANE GROSS

GRAND RAPIDS, MI
NPI1184143539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401018315)
Enumeration Date2017-09-18
Last Update Date2023-12-04
Business Address
Mrs. SHASTA LANE GROSS MA, LPC
2305 E PARIS AVE SE STE 203
GRAND RAPIDS, MI 49546-2426
Phone number: 616-816-1758
Mailing Address
Mrs. SHASTA LANE GROSS MA, LPC
2305 E PARIS AVE SE STE 203
GRAND RAPIDS, MI 49546-2426
Phone number: 616-816-1758
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