is a Group Psychotherapy in Grand Rapids, Michigan. practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for is 1356508295. The last update date is .
's current location address is 330 Barclay Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163912802 and fax number 6163912840. The mailing address for is 330 Barclay Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 330 Barclay Ave Ne, Grand Rapids, Michigan |
Phone Number | 6163912802 |
Fax Number | 6163912840 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1356508295 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 330 Barclay Ave Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495032556 |
Phone Number | 6163912802 |
Fax Number | 6163912840 |
Provider's Primary Taxonomy Detail
Speciality | Group Psychotherapy |
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Taxonomy | 103Tp2701X |
Licence No | 6301013341 |
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1356508295 | MI | -- |
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