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Individual

BRYAN ROSS CREEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2305 E PARIS AVE SE STE 203, GRAND RAPIDS, MI 49546-2426
(616) 929-0226
Mailing address
241 HENRY AVE SE APT 4, GRAND RAPIDS, MI 49503-5812
(616) 881-6440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64011014260
MI

Other

Enumeration date
11/17/2014
Last updated
11/17/2014
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