Organization
BLUE ANCHOR BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE MOSKALEWSKI LMSW (CLINICAL THERAPIST)
(563) 542-2850
Entity
Organization
Contact information
Practice address
1550 E BELTLINE AVE SE STE 250, GRAND RAPIDS, MI 49506-4364
(563) 542-2850
Mailing address
11790 HAYMEADOW CT, RAVENNA, MI 49451-9489
(563) 542-2850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/21/2022
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