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Gregory Outlaw, QMHP
Counselor in Cassopolis, Michigan
NPI 1629470588

Gregory Outlaw is a Counselor based in Cassopolis, MI. Gregory Outlaw practices in Cassopolis, MI and has the professional credentials of QMHP. The NPI Number for Gregory Outlaw is 1629470588 and holds a License No. (Michigan).

The current practice location address for Gregory Outlaw is 960 M 60 E, Cassopolis, MI and can be reached out via phone at 269-445-2451. You can also correspond with Gregory Outlaw through the mailing address at 63357 CROOKED CREEK RD, CASSOPOLIS, MI - 49031-9304 (mailing address contact number: 574-520-9044).

Location: 960 M 60 E, Cassopolis, MI, 49031-9304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629470588
Provider Name
Gregory Outlaw
Credential
QMHP
Provider Entity Type
Individual
Gender
Male
Address
960 M 60 E, Cassopolis, MI, 49031-9304
Phone Number
269-445-2451
Fax Number
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
960 M 60 E
City
Cassopolis
State
Michigan
Zip
49031-9339
Phone Number
269-445-2451
Fax Number
person
Provider Business Mailing Address Details
Address
960 M 60 E
City
Cassopolis
State
Michigan
Zip
49031-9339
Phone Number
269-445-2451
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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