Organization
GREEN BRANCHES COUNSELING ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MICHAEL FESSENDEN LMSW (SOLE MBR)
(616) 485-9047
Entity
Organization
Contact information
Practice address
4867 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9787
(616) 485-9047
Mailing address
4867 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9787
(616) 485-9047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
01/08/2025
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