Individual
COURTNEY GRACE WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, RDT, LLPC, NCC
Contact information
Practice address
721 W CENTRE AVE, PORTAGE, MI 49024-5309
(269) 779-7577
Mailing address
1229 LITTLE DR APT C310, KALAMAZOO, MI 49006-6203
(269) 270-5728
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002994
NY
101Y00000X
Counselor
6451024762
MI
Other
Enumeration date
02/01/2023
Last updated
02/21/2026
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