Individual
PAUL PHELPS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAR
Contact information
Practice address
4200 W MICHIGAN AVE STE 243, KALAMAZOO, MI 49006-5840
(269) 375-2833
(269) 375-2838
Mailing address
10040 STADIUM DR, KALAMAZOO, MI 49009-9426
(269) 375-2833
(269) 375-2838
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004079
MI
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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