Organization
CREDA PLLC
Active
Other names
creda pllc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GIBSON FRANCISCOTTY LPC (OWNER)
(616) 295-0691
Entity
Organization
Contact information
Practice address
977 ADA PLACE DR SE, GRAND RAPIDS, MI 49546-3793
(616) 295-0691
Mailing address
977 ADA PLACE DR SE, GRAND RAPIDS, MI 49546-3793
(616) 295-0691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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