Organization
KALAMAZOO CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ELLEN GRIMMER OTR, MA, LLPC (COUNSELOR)
(269) 348-4331
Entity
Organization
Contact information
Practice address
5550 OAKLAND DR, PORTAGE, MI 49024-1113
(269) 348-4331
Mailing address
5550 OAKLAND DR, PORTAGE, MI 49024-1113
(269) 348-4331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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