Organization
FAN-SAARELA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XUEJING FAN LLMSW (CLINICAL THERAPIST)
(616) 886-7076
Entity
Organization
Contact information
Practice address
2450 44TH ST SE STE 302, KENTWOOD, MI 49512-9081
(616) 886-7076
Mailing address
229 WESTOWN DR NW APT 201, GRAND RAPIDS, MI 49534-3697
(616) 886-7076
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/20/2024
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