Individual
ROBERT DECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
17214 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 405-4188
(616) 935-1288
Mailing address
3879 RHODES AVE # 200, NEW BOSTON, OH 45662-6002
(616) 405-4188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009234
MI
101YP2500X
Professional Counselor
E.2202886
OH
Other
Enumeration date
08/29/2012
Last updated
03/31/2023
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