Sacred Space Counseling
Counselor, Professional in Spring Lake, MI. Organization (NPI-2).
NPI number1487902003
StatusActive
Last updated in NPPESMay 12, 2015
Details
- NPI
- 1487902003
- Entity type
- Organization (NPI-2)
- Legal business name
- Sacred Space Counseling
- Organization subpart
- No
- Enumeration date
- Aug 29, 2012
- Last updated
- May 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401009234 | MI | Yes |
Practice location
17214 Van Wagoner RdSpring Lake, MI 49456-9702
Phone 616-405-4188 · Fax 616-935-1288
Mailing address
17214 Van Wagoner RdSpring Lake, MI 49456-9702
Phone 616-405-4188 · Fax 616-935-1288
Authorized official
Robert Deckert
President
6164054188
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