Peter J Cappon, LPC
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1982199717
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1982199717
- Entity type
- Individual (NPI-1)
- Name
- Peter J Cappon
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2018
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401018523 | MI | Yes |
| 101YP2500X | Counselor, Professional | 6401016700 | MI |
Practice location
30 Jefferson Ave SeGrand Rapids, MI 49503-4304
Phone 616-303-1313
Mailing address
3413 Tomahawk Dr SwGrandville, MI 49418-1961
Phone 616-202-8240
Other practice locations
1344 Mayfield Ave Ne
Grand Rapids, MI 49505-5525
Grand Rapids, MI 49505-5525
Phone 616-202-8240
3413 Tomahawk Dr Sw
Grandville, MI 49418-1961
Grandville, MI 49418-1961
Phone 616-202-8240
741 Kenmoor Ave Se Ste B
Grand Rapids, MI 49546-2304
Grand Rapids, MI 49546-2304
Phone 616-202-8240
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