Organization
LISTENING EAR COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J DAVIS MA LLPC (COUNSELOR/SUPERVISOR)
(616) 214-8690
Entity
Organization
Contact information
Practice address
3239 GIDDINGS AVENUE SE, GRAND RAPIDS, MI 49508
(616) 214-8690
Mailing address
3239 GIDDINGS AVENUE SE, GRAND RAPIDS, MI 49508
(616) 214-8690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013745
MI
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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