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Organization
KATELYN CABLE MA LLP
Active
Organization
KATELYN CABLE MA LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN CABLE MA, LLP (BUSINESS OWNER)
(616) 460-3203
Entity
Organization
Contact information
Practice address
5001 PLAINFIELD AVE SE, SUITE B, GRAND RAPIDS, MI 49525-9349
(616) 278-0551
(616) 278-0145
Mailing address
5001 PLAINFIELD AVE SE, STE B, GRAND RAPIDS, MI 49525-9349
(616) 278-0551
(616) 278-0145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6301016606
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
09/08/2020
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