Organization
INTENTIONAL COUNSELING GRAND RAPIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NATHANAEL KRAUSS LPC (OWNER)
(616) 365-5530
Entity
Organization
Contact information
Practice address
781 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-8628
(616) 365-5530
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 365-5530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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