Individual
MR. JUAN FRANCISCO CARISALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
1530 NICHOLS RD, KALAMAZOO, MI 49006-2065
(269) 343-6700
(269) 343-4831
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MI
103T00000X
Psychologist
Primary
6361000011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883502
—
MI
Enumeration date
10/26/2009
Last updated
05/11/2021
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