Individual
KATHERINE MAE SANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 710-1861
Mailing address
2248 ONTONAGON AVE SE, GRAND RAPIDS, MI 49506-5368
(616) 295-0832
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6361007821
MI
Other
Enumeration date
03/24/2021
Last updated
07/20/2026
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