Individual
REBECCA GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(269) 775-1283
Mailing address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(269) 488-5903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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