Individual
KEELY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 303-1313
Mailing address
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023923
MI
Other
Enumeration date
07/13/2020
Last updated
10/14/2024
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