Individual
LAUREN BLEISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 CASCADE RD SE, GRAND RAPIDS, MI 49546-3665
(616) 277-7533
Mailing address
6656 RIGA AVE NE, ROCKFORD, MI 49341-9210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024952
MI
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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