Individual
LUCAS KOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60629508
WA
101YP2500X
Professional Counselor
Primary
6401019158
MI
Other
Enumeration date
12/16/2015
Last updated
07/27/2023
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