Individual
KATHLEEN PIECUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Mailing address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013501
MI
101YP2500X
Professional Counselor
Primary
6401013501
MI
Other
Enumeration date
04/16/2013
Last updated
12/20/2024
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