Organization
REBECCA GAGE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GAGE LPC (OWNER)
(773) 255-2777
Entity
Organization
Contact information
Practice address
10032 SHAVER RD, PORTAGE, MI 49024-6738
(773) 255-2777
Mailing address
513 VILLAGE ST, KALAMAZOO, MI 49008-1142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
11/04/2022
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