Individual
CHRISTOPHER JOHN KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLC
Contact information
Practice address
801 OAKLAND AVE SW, GRAND RAPIDS, MI 49503-5057
(616) 819-2947
Mailing address
6895 MYERS LAKE AVE NE, ROCKFORD, MI 49341-8881
(248) 798-3194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023005
MI
Other
Enumeration date
05/29/2023
Last updated
12/06/2023
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