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Organization
WILLOW COUNSELING STUDIO
Active
Organization
WILLOW COUNSELING STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLENE RENEE DALTON-KOONS LMSW (OWNER/THERAPIST)
(616) 706-3951
Entity
Organization
Contact information
Practice address
2424 BURTON ST SE STE 103, GRAND RAPIDS, MI 49546-4833
(616) 229-0671
Mailing address
1919 CHAMBERLAIN AVE SE, GRAND RAPIDS, MI 49506-4638
(616) 229-0671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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