Organization
BRIDGES COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE M WITHAM (LMSW)
(616) 477-3404
Entity
Organization
Contact information
Practice address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
(616) 447-3404
Mailing address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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