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Individual

MR. KIMBER GLENN DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-0589
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-0589

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
MI
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary
6401016108
MI

Other

Enumeration date
06/08/2017
Last updated
09/12/2025
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