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Organization
COUNSELING & CONSULTATION RESOURCES PC
Active
Organization
COUNSELING & CONSULTATION RESOURCES PC
Active
Other names
Counseling & Consultation Resources
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT MICHAEL ELLENS PSY.D. (PRESIDENT/OWNER)
(616) 355-0549
Entity
Organization
Contact information
Practice address
720 E 8TH ST, SUITE 2, HOLLAND, MI 49423-3079
(616) 355-0549
(616) 355-0480
Mailing address
720 E 8TH ST, SUITE 2, HOLLAND, MI 49423-3079
(616) 355-0549
(616) 355-0480
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301011810
MI
Other
Enumeration date
01/20/2007
Last updated
01/12/2022
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