Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marcie M Dullea

Individual provider Professional Counselor · NPI 1578832168

Marcie M Dullea is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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Practice location Address checks out

800 Monroe Ave NW Ste 202
Grand Rapids, MI 49503-1448
Phone: (586) 215-3435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401012719 (MI)

Record details

NPI number1578832168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2011
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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