Individual
PATRICK EARL HILLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2013 EASTCASTLE DR SE STE B, GRAND RAPIDS, MI 49508-8873
(616) 888-1120
Mailing address
2013 EASTCASTLE DR SE STE B, GRAND RAPIDS, MI 49508-8873
(616) 942-2110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451025096
MI
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2023
Last updated
06/11/2026
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