Nathan Reicha
Social Worker, Clinical in Jenison, MI. Individual provider (NPI-1).
NPI number1699212944
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1699212944
- Entity type
- Individual (NPI-1)
- Name
- Nathan Reicha
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2017
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
1346 Baldwin StJenison, MI 49428-8937
Phone 231-392-3709
Mailing address
3009 Perry Ave SwWyoming, MI 49519-2530
Phone 231-392-3709
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