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Organization
THIRD COAST COUNSELING CENTER
Active
Organization
THIRD COAST COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C MITCHELL M.A., LMSW (THERAPIST)
(616) 451-3008
Entity
Organization
Contact information
Practice address
1514 WEALTHY ST SE, STE 260, GRAND RAPIDS, MI 49506-2755
(616) 451-3008
(616) 451-3070
Mailing address
1514 WEALTHY ST SE, STE 260, GRAND RAPIDS, MI 49506-2755
(616) 451-3008
(616) 451-3070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801035829
MI
Other
Enumeration date
10/09/2006
Last updated
07/24/2008
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