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Organization

PURPOSED LIFE COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRISTY LORENE BURKS LMSW (OWNER)
(616) 745-7507
Entity
Organization

Contact information

Practice address
8 E BRIDGE ST STE D1, ROCKFORD, MI 49341-1601
(616) 745-7507
Mailing address
8 E BRIDGE ST STE D1, ROCKFORD, MI 49341-1601
(616) 745-7507

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/22/2021
Last updated
09/22/2021
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