Individual
MR. DURIEL ULYSSES COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E BELTLINE AVE SE STE 250, GRAND RAPIDS, MI 49506-4360
(616) 414-0019
Mailing address
1418 COLORADO AVE SE, GRAND RAPIDS, MI 49507-2213
(616) 414-0019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222766
MI
Other
Enumeration date
08/28/2017
Last updated
06/27/2022
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