Individual
KEEGAN FERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
800 MONROE AVE NW STE 319, GRAND RAPIDS, MI 49503-1451
(616) 275-4646
Mailing address
150 BURTON ST SE APT 2, GRAND RAPIDS, MI 49507
(765) 749-0071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451019344
MI
106S00000X
Behavior Technician
F620465744062
MI
Other
Enumeration date
03/01/2017
Last updated
01/10/2023
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