Individual
MR. GLENN EDWARD KUTZLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
3333 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 954-3540
Mailing address
3333 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 954-3540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
6401008162
MI
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
10/01/2025
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