NPI | 1679369961 |
---|---|
Entity Type | Organization |
Authorized Contact | JO ANNA KELLY Counselor 616-885-6027 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
103TC1900X Psychologist, Counseling | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2025-04-15 |
Last Update Date | 2025-04-15 |