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Individual

ALEXANDER SYDNEY HOUSEKNECHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LP

Contact information

Practice address
1514 WEALTHY ST SE STE 290, GRAND RAPIDS, MI 49506-2755
(206) 465-3302
Mailing address
337 VISSER PL SE, GRAND RAPIDS, MI 49506-1541

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
6301018243
MI
103TC1900X
Counseling Psychologist
Primary
6301019486
MI
103TC1900X
Counseling Psychologist
6352000108
MI

Other

Enumeration date
01/13/2020
Last updated
04/29/2025
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