Individual
DR. ALICIA V FAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
1361 BRANCHWOOD CIR APT 201, NAPERVILLE, IL 60563-4107
(612) 747-0414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.016233
IL
101YM0800X
Mental Health Counselor
6401224437
MI
101YP2500X
Professional Counselor
Primary
6401224437
MI
Other
Enumeration date
07/14/2008
Last updated
01/16/2025
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