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Organization
RETREAT COUNSELING LLC
Active
Organization
RETREAT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GORDON LPC (OWNER)
(616) 514-7924
Entity
Organization
Contact information
Practice address
4867 E BELTLINE AVE NE, BUILDING #1; SUITE 4, GRAND RAPIDS, MI 49525
(616) 232-6050
Mailing address
4867 E BELTLINE AVE NE, BUILDING #1; SUITE 4, GRAND RAPIDS, MI 49525
(616) 232-6050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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