Individual
CONNOR DAVID KASSUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Mailing address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024526
MI
101YM0800X
Mental Health Counselor
6451024526
MI
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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