Organization
TISDEL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA TISDEL LMSW (CLINICAL MASTERS SOCIAL WORKER)
(616) 502-5474
Entity
Organization
Contact information
Practice address
1703 S DESPELDER ST, GRAND HAVEN, MI 49417-2649
(616) 842-9160
Mailing address
515 RIVER ST, SPRING LAKE, MI 49456-1907
(616) 502-5474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801087231
MI
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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