person
Bradley Stalker, MA,LLPC
Mental Health Counselor in Jenison, Michigan
NPI 1134715303

Bradley Stalker is a Mental Health Counselor based in Jenison, MI and is specialized in Mental Health. Bradley Stalker practices in Jenison, MI and has the professional credentials of MA,LLPC. The NPI Number for Bradley Stalker is 1134715303 and holds a License No. 6401018452 (Michigan).

The current practice location address for Bradley Stalker is 1348 Baldwin St, Jenison, MI and can be reached out via phone at 616-404-4564.

Location: 1348 Baldwin St, Jenison, MI, 49428-8937
person
Provider Profile Details
NPI Number
1134715303
Provider Name
Bradley Stalker
Credential
MA,LLPC
Provider Entity Type
Individual
Gender
Male
Address
1348 Baldwin St, Jenison, MI, 49428-8937
Phone Number
616-404-4564
Fax Number
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437651916 01 MI NPI
institution
Provider Business Practice Location Address Details
Address
1348 Baldwin St
City
State
Zip
49428-8937
Phone Number
616-404-4564
Fax Number
person
Provider Business Mailing Address Details
Address
1348 Baldwin St
City
State
Zip
49428-8937
Phone Number
616-404-4564
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401018452 (Michigan)
Definition
Definition to come...
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