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Contact Information

CHRISTIAN COUNSELING CENTER
1870 LEONARD NE
GRAND RAPIDS, MI49505
 Phone: 616-956-1122
 Fax: 616-956-8033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHRISTIAN COUNSELING CENTER · (Female)

NPI Number 1699725127
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2006
Last updated 03/26/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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