Individual
KATIE ROSE ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6505 CHERRY MEADOW DR SE, CALEDONIA, MI 49316-9484
(616) 891-8770
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401014285
MI
101YM0800X
Mental Health Counselor
6401014285
MI
101YP2500X
Professional Counselor
Primary
6401014285
MI
Other
Enumeration date
06/10/2014
Last updated
01/11/2024
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