| NPI | 1700540416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KOSCIELNIAK Licensed Professional Counselor 616-502-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |