person
Mrs. Shasta Lane Gross, MA,LPC
Professional Counselor in Grand Rapids, Michigan
NPI 1184143539

Shasta Lane Gross is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Shasta Lane Gross practices in Grand Rapids, MI and has the professional credentials of MA,LPC. The NPI Number for Shasta Lane Gross is 1184143539 and holds a License No. 6401018315 (Michigan).

The current practice location address for Shasta Lane Gross is 2305 E Paris Ave Se Ste 203, Grand Rapids, MI and can be reached out via phone at 616-816-1758 and via fax at 616-333-7685.

Location: 2305 E Paris Ave Se Ste 203, Grand Rapids, MI, 49546-2426
person
Provider Profile Details
NPI Number
1184143539
Provider Name
Shasta Lane Gross
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
2305 E Paris Ave Se Ste 203, Grand Rapids, MI, 49546-2426
Phone Number
616-816-1758
Fax Number
616-333-7685
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2305 E Paris Ave Se Ste 203
City
State
Zip
49546-2426
Phone Number
616-816-1758
Fax Number
616-333-7685
person
Provider Business Mailing Address Details
Address
2305 E Paris Ave Se Ste 203
City
State
Zip
49546-2426
Phone Number
616-816-1758
Fax Number
616-333-7685
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401018315 (Michigan)
Definition
Definition to come...
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