Individual
RAQUEL ITALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
C/O HEART WALK COUNSELING, 5242 PLAINFIELD AVENUE NE - SUITE F, GRAND RAPIDS, MI 49525
(248) 602-2014
Mailing address
34149 LITTLE MACK AVE, CLINTON TOWNSHIP, MI 48035-3497
(248) 602-2014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451023848
MI
101YP2500X
Professional Counselor
Primary
6451023848
MI
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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