Organization
COMPREHENSIVE COUNSELING CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE RUCKER (PROVIDER)
(616) 589-4715
Entity
Organization
Contact information
Practice address
2021 44TH ST SE STE C, GRAND RAPIDS, MI 49508-5349
(616) 777-7399
(616) 773-1383
Mailing address
2021 44TH ST SE STE C, GRAND RAPIDS, MI 49508-5349
(616) 777-7399
(616) 773-1383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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