Individual
SAMUEL A BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
1750 GRAND RIDGE CT NE, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
(616) 404-4103
Mailing address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
(616) 404-4103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009391
MI
103TC0700X
Clinical Psychologist
6301006182
MI
Other
Enumeration date
03/22/2006
Last updated
03/25/2024
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