Organization
GRAND RAPIDS COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY IBARRA MA, LPC (OWNER)
(616) 258-6270
Entity
Organization
Contact information
Practice address
1239 76TH ST SW STE H4, BYRON CENTER, MI 49315-7921
(616) 258-6270
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/09/2022
Last updated
12/16/2025
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