Organization
KOINONIA PROFESSIONAL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC GORDON WATTS MA, LPC (OWNER)
(616) 818-6637
Entity
Organization
Contact information
Practice address
233 FULTON ST E STE 209E, GRAND RAPIDS, MI 49503-3200
(616) 279-9978
(616) 724-4331
Mailing address
233 FULTON ST E STE 209E, GRAND RAPIDS, MI 49503-3200
(616) 279-9978
(616) 724-4331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009315
MI
Other
Enumeration date
04/01/2015
Last updated
01/22/2026
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