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Organization
THEA WOODNORTH COUNSELING SERVICES LLC
Active
Organization
THEA WOODNORTH COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
2040 RAYBROOK ST SE STE 301D, GRAND RAPIDS, MI 49546-7775
(616) 304-0274
(517) 323-9531
Mailing address
1539 BLYTHE CT NW, GRAND RAPIDS, MI 49504-2530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
11/25/2024
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