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Organization

SARA MARIE RICE

Active
Other names
Koinonia Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MARIE RICE LPC (OWNER)
(616) 208-9337
Entity
Organization

Contact information

Practice address
3500 BYRON CENTER AVE SW, WYOMING, MI 49519-3260
(616) 208-9337
(616) 208-9337
Mailing address
2566 22 MILE RD NW, KENT CITY, MI 49330-9203
(616) 208-9337
(616) 208-9337

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14470467
CAQH
Enumeration date
05/16/2019
Last updated
12/14/2023
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