John Mark Stitzel Jr., LPC
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1508096835
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1508096835
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Mark Stitzel Jr.
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2009
- Certification date
- Apr 6, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401009202 | MI | Yes |
Practice location
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone 616-336-3909 · Fax 616-336-8830
Mailing address
790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone 616-336-3909 · Fax 616-336-8830
Other practice locations
805 Leonard St Ne
Grand Rapids, MI 49503-1138
Grand Rapids, MI 49503-1138
Phone 616-710-2320 · Fax 616-774-3842
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