Organization
CHILDRESS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M CHILDRESS LLPC (SOLE MEMBER)
(616) 466-3107
Entity
Organization
Contact information
Practice address
4565 WILSON AVE SW STE 3A, GRANDVILLE, MI 49418-2371
(616) 466-3107
Mailing address
3300 36TH ST SE, KENTWOOD, MI 49512-2810
(616) 304-7517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
06/05/2024
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