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Organization
SARA MARIE RICE
Active
Organization
SARA MARIE RICE
Active
Other names
Koinonia Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE RICE LPC (OWNER)
(616) 208-9337
Entity
Organization
Contact information
Practice address
3500 BYRON CENTER AVE SW, WYOMING, MI 49519-3260
(616) 208-9337
(616) 208-9337
Mailing address
2566 22 MILE RD NW, KENT CITY, MI 49330-9203
(616) 208-9337
(616) 208-9337
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14470467
CAQH
—
Enumeration date
05/16/2019
Last updated
12/14/2023
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