Childress Counseling Pllc | |
4565 Wilson Ave Sw Ste 3a Grandville MI 49418-2371 | |
(616) 466-3107 | |
Not Available |
Full Name | Childress Counseling Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 4565 Wilson Ave Sw Ste 3a, Grandville, Michigan |
Authorized Official Name and Position | Kim M Childress (SOLE MEMBER) |
Authorized Official Contact | 6164663107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childress Counseling Pllc Po Box 1767 Grand Rapids MI 49501-1767 Ph: (616) 235-2090 | Childress Counseling Pllc 4565 Wilson Ave Sw Ste 3a Grandville MI 49418-2371 Ph: (616) 466-3107 |
NPI Number | 1689152225 |
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Provider Enumeration Date | 08/06/2018 |
Last Update Date | 08/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689152225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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