Individual
MR. RONALD CRAIG SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MA, MDIV, LPC
Contact information
Practice address
1514 WEALTHY ST SE, SUITE 260, GRAND RAPIDS, MI 49506-2755
(616) 451-3008
(616) 451-3070
Mailing address
1554 MACKINAW RD SE, GRAND RAPIDS, MI 49506-3349
(616) 241-2413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401010233
MI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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