Organization
616 COUNSELING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN GAUTHIER LMSW, ACSW, CAADC (PARTNER & CLINICAL SOCIAL WORKER)
(616) 930-4123
Entity
Organization
Contact information
Practice address
550 CASCADE WEST PKWY SE, GRAND RAPIDS, MI 49546-2137
(616) 930-4123
(616) 323-3994
Mailing address
550 CASCADE WEST PKWY SE, GRAND RAPIDS, MI 49546-2137
(616) 930-4123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
06/12/2024
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