Individual
MR. GARY MICHAEL COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
1115 BALL AVE NE BLDG C, GRAND RAPIDS, MI 49505-5904
(616) 632-7744
(616) 632-7744
Mailing address
1075 WALL LAKE DR, DELTON, MI 49046-9517
(269) 623-5771
(269) 623-5771
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301008599
MI
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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