Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services is a Professional Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
300 68th St SEGrand Rapids, MI 49548-6927
Phone: (616) 281-6372
Fax: (616) 281-6459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (MI) |
|---|
Record details
| NPI number | 1386015683 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Fennema — Managed Care Administrator · (616) 281-6372 |
| NPI enumerated | October 13, 2015 |
| Last updated in NPPES | November 4, 2020 |
| Certification date | November 4, 2020 |
| Mailing address | 300 68th St Se, Grand Rapids, MI 49548-6927 |
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Pine Rest Christian Mental Health Services
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