Individual
AUSTIN FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2127 UNIVERSITY PARK DR, OKEMOS, MI 48864-5928
(619) 851-7408
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6362009292
MI
Other
Enumeration date
12/18/2019
Last updated
06/16/2022
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