Individual
CHAD MICHAEL FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
100 MICHIGAN ST NE FL 10, GRAND RAPIDS, MI 49503-2560
(616) 267-1925
Mailing address
4867 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9787
(616) 485-9047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801088552
MI
1041C0700X
Clinical Social Worker
Primary
6801088552
MI
Other
Enumeration date
12/28/2007
Last updated
01/07/2025
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