Organization
CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SWISHER (BILLING)
(616) 942-8060
Entity
Organization
Contact information
Practice address
1870 LEONARD NE, GRAND RAPIDS, MI 49505
(616) 956-1122
(616) 956-8033
Mailing address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-1122
(616) 956-8033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/12/2006
Last updated
03/26/2012
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