Organization
BLOOM WITH GRACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MARIE JOHNSON LPC (LICENSED PROFESSIONAL COUNSELOR)
(269) 743-9793
Entity
Organization
Contact information
Practice address
4341 S WESTNEDGE AVE STE 1101, KALAMAZOO, MI 49008-3289
(269) 743-9793
Mailing address
11549 AMBLING AVE, GALESBURG, MI 49053-8805
(269) 743-9793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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