Individual
MATTHEW O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
418 145TH AVE, CALEDONIA, MI 49316-9644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016017
MI
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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