Organization
JKG COUNSELING & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
233 FULTON ST E STE 114B, GRAND RAPIDS, MI 49503-3200
(616) 208-5032
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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