Fruit Belt Counseling PLLC
Social Worker, Clinical in Kalamazoo, MI. Organization (NPI-2).
NPI number1669199378
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1669199378
- Entity type
- Organization (NPI-2)
- Legal business name
- Fruit Belt Counseling PLLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1207 W Maple StKalamazoo, MI 49008-1845
Phone 630-750-2674
Mailing address
1207 W Maple StKalamazoo, MI 49008-1845
Authorized official
Baylie Roth
Director
6307502674
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