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Organization

A RADIANT MIND PROFESSIONAL COUNSELING SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA MIDDLETON (CREDENTIALING)
(989) 321-8918
Entity
Organization

Contact information

Practice address
1850 WHITES RD STE 5, KALAMAZOO, MI 49008-4801
(269) 808-0618
(269) 567-4113
Mailing address
1850 WHITES RD STE 5, KALAMAZOO, MI 49008-4801
(269) 808-0618
(269) 567-4113

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/01/2022
Last updated
07/07/2023
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