Individual
ADAM RUSSELL OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
5985 W MAIN ST, SUITE 101, KALAMAZOO, MI 49009-8708
(269) 459-9790
Mailing address
4211 BEECHMOUNT AVE, PORTAGE, MI 49024-9518
(989) 400-0207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013311
MI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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