Organization
GRAND RAPIDS COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY IBARRA MA, LPC, SCL (OWNER)
(616) 258-6270
Entity
Organization
Contact information
Practice address
1239 76TH ST SW STE H4, BYRON CENTER, MI 49315-7921
(616) 780-1243
Mailing address
769 SUN STONE DR SW, BYRON CENTER, MI 49315-8396
(616) 258-6270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/09/2022
Last updated
07/20/2023
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