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Organization
KATHERINE DEVRIES THERAPY, PLLC
Active
Organization
KATHERINE DEVRIES THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN DEVRIES LMSW, CAADC (OWNER)
(616) 710-1033
Entity
Organization
Contact information
Practice address
5242 PLAINFIELD AVE NE STE E, GRAND RAPIDS, MI 49525-1084
(616) 710-1033
Mailing address
7880 5 MILE RD NE, ADA, MI 49301-7749
(616) 881-1222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
09/09/2021
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