Organization
EJDE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DESANTIS LPC (OWNER)
(616) 648-2686
Entity
Organization
Contact information
Practice address
241 FINNEY AVE SW STE 4, GRAND RAPIDS, MI 49503-4311
(616) 648-2686
Mailing address
4279 SAWKAW DR NE, GRAND RAPIDS, MI 49525-6513
(616) 648-2686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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