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Organization

CONSOLE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HAZELTINE LPC (OWNER)
(616) 450-3771
Entity
Organization

Contact information

Practice address
4630 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1643
(616) 259-4181
Mailing address
4630 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1643
(616) 259-4181

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/25/2025
Last updated
08/13/2025
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