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Organization

SOULCARE COUNSELING

Active
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Organization

SOULCARE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK S. OLEXA LMSW (OWNER)
(616) 560-4036
Entity
Organization

Contact information

Practice address
4829 E BELTLINE AVE NE, SUITE 103, GRAND RAPIDS, MI 49525-9747
(616) 560-4036
Mailing address
3130 BROCKWOOD DR NE, GRAND RAPIDS, MI 49525-1336
(616) 560-4036

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00610
MI
101YP2500X
Professional Counselor
6401000047
MI
1041C0700X
Clinical Social Worker
Primary
6801046560
MI

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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