person
Phyllis Powers-fata
Professional Counselor in Grand Rapids, Michigan
NPI 1619464476

Phyllis Powers-fata is a Professional Counselor based in Caledonia, MI and is specialized in Professional. Phyllis Powers-fata practices in Grand Rapids, MI. The NPI Number for Phyllis Powers-fata is 1619464476 and holds a License No. 6401006559 (Michigan).

The current practice location address for Phyllis Powers-fata is 5242 Plainfield Ave Ne Ste C, Grand Rapids, MI and can be reached out via phone at 616-340-4217.

Location: 5242 Plainfield Ave Ne Ste C, Grand Rapids, MI, 49316-7468
person
Provider Profile Details
NPI Number
1619464476
Provider Name
Phyllis Powers-fata
Credential
Provider Entity Type
Individual
Gender
Female
Address
5242 Plainfield Ave Ne Ste C, Grand Rapids, MI, 49316-7468
Phone Number
616-340-4217
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5242 Plainfield Ave Ne Ste C
City
State
Zip
49525-1084
Phone Number
616-340-4217
Fax Number
person
Provider Business Mailing Address Details
Address
5242 Plainfield Ave Ne Ste C
City
State
Zip
49525-1084
Phone Number
616-340-4217
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401006559 (Michigan)
Definition
Definition to come...
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