| NPI | 1497506273 |
|---|---|
| Doing Business As | FIVE LAKES COUNSELING & PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BAUER Founder/Clinical Director 616-557-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-07-15 |