Individual
DANIEL V QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
923 S BEECHTREE ST, SUITE 10, GRAND HAVEN, MI 49417-2306
(616) 935-1246
Mailing address
PO BOX 324, GRAND HAVEN, MI 49417-0324
(616) 935-1246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401004824
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401004824
MI
101YM0800X
Mental Health Counselor
6401004824
MI
101YP2500X
Professional Counselor
6401004824
MI
Other
Enumeration date
07/03/2006
Last updated
05/15/2019
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