ADAM RICHARD SHANTY

SPRING LAKE, MI
NPI1942702816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6401222574)
Enumeration Date2018-03-06
Last Update Date2022-04-15
Business Address
ADAM RICHARD SHANTY LPC
17224 VAN WAGONER RD
SPRING LAKE, MI 49456-9702
Phone number: 616-296-2130
Mailing Address
ADAM RICHARD SHANTY LPC
1524 SLAYTON AVE
GRAND HAVEN, MI 49417-2039
Phone number: 616-402-4502