| Cultivate Wellness Counseling | |
|
6963 Marshall Ave Se Grand Rapids MI 49508-7438 | |
| (616) 207-4655 | |
| Not Available |
| Full Name | Cultivate Wellness Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6963 Marshall Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jeanna Boase (CLINICIAN) |
| Authorized Official Contact | 6162074655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Wellness Counseling 6963 Marshall Ave Se Grand Rapids MI 49508-7438 Ph: () - | Cultivate Wellness Counseling 6963 Marshall Ave Se Grand Rapids MI 49508-7438 Ph: (616) 207-4655 |
| NPI Number | 1952923500 |
|---|---|
| Provider Enumeration Date | 05/16/2020 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952923500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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