Rachael Nicole Leece, CTRS, QIDP
Case Manager/Care Coordinator in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1194355834
StatusActive
Last updated in NPPESOct 19, 2023
Details
- NPI
- 1194355834
- Entity type
- Individual (NPI-1)
- Name
- Rachael Nicole Leece
- Credential
- CTRS, QIDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Oct 19, 2023
- Last updated
- Oct 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 225800000X | Recreation Therapist | – | – |
Practice location
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone 616-336-3909
Mailing address
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone 166-336-3909
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All 281 Case Manager/Care Coordinator providers in Grand Rapids · All 20,987 providers in Grand Rapids
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