Individual
MORIAH GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2030 PORTAGE ST FL 2, KALAMAZOO, MI 49001-3836
(269) 553-7132
Mailing address
2030 PORTAGE ST FL 2, KALAMAZOO, MI 49001-3836
(269) 553-7132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640122017
LARA
MI
Enumeration date
06/13/2018
Last updated
07/09/2024
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