Individual
MS. SARA MARIE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3500 BYRON CENTER AVE SW, WYOMING, MI 49519-3260
(616) 208-9337
(616) 504-6669
Mailing address
2566 22 MILE RD NW, KENT CITY, MI 49330-9203
(616) 208-9337
(616) 208-9337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6241017318
MI
101YP2500X
Professional Counselor
Primary
6401222924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14470467
CAQH
—
Enumeration date
05/16/2019
Last updated
04/06/2023
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