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Organization
SQUAD COUNSELING LLC
Active
Organization
SQUAD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY GRAVERT LPC (OWNER)
(616) 204-2087
Entity
Organization
Contact information
Practice address
2050 BRETON RD SE STE 104, GRAND RAPIDS, MI 49546-5547
(616) 202-6521
Mailing address
2050 BRETON RD SE STE 104, GRAND RAPIDS, MI 49546-5547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
04/27/2025
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