Polly Ann McCaul, LLC
Counselor, Professional in Kentwood, MI. Individual provider (NPI-1).
NPI number1790455293
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1790455293
- Entity type
- Individual (NPI-1)
- Name
- Polly Ann McCaul
- Credential
- LLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2021
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6451017485 | MI | Yes |
| 101Y00000X | Counselor | 6401017485 | MI |
Other names
- Polly Ann French (Former Name)
Practice location
3744 28th St SeKentwood, MI 49512-1802
Phone 800-395-3223 · Fax 248-620-6405
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223 · Fax 248-620-6405
Other practice locations
3777 44th St Se Ste 2
Grand Rapids, MI 49512-3945
Grand Rapids, MI 49512-3945
Phone 616-209-9192
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