Individual
CONNOR BRASSINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 410-4445
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401017538
MI
101YP2500X
Professional Counselor
Primary
6401222483
MI
Other
Enumeration date
09/11/2019
Last updated
11/27/2023
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