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Ms. Lisa Jean Rathbun, LMSW,ACSW
Professional Counselor in Grand Rapids, Michigan
NPI 1811056872

Lisa Jean Rathbun is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Lisa Jean Rathbun practices in Grand Rapids, MI and has the professional credentials of LMSW,ACSW. The NPI Number for Lisa Jean Rathbun is 1811056872 and holds a License No. 6801078044 (Michigan).

The current practice location address for Lisa Jean Rathbun is 4477 Cascade Rd Se, Grand Rapids, MI and can be reached out via phone at 616-726-6437 and via fax at 616-957-1438.

Location: 4477 Cascade Rd Se, Grand Rapids, MI, 49504-2488
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Provider Profile Details
NPI Number
1811056872
Provider Name
Lisa Jean Rathbun
Credential
LMSW,ACSW
Provider Entity Type
Individual
Gender
Female
Address
4477 Cascade Rd Se, Grand Rapids, MI, 49504-2488
Phone Number
616-726-6437
Fax Number
616-957-1438
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6801078044 01 MI S.W. REGISTRATION
institution
Provider Business Practice Location Address Details
Address
4477 Cascade Rd Se
City
State
Zip
49546-3632
Phone Number
616-726-6437
Fax Number
616-957-1438
person
Provider Business Mailing Address Details
Address
4477 Cascade Rd Se
City
State
Zip
49546-3632
Phone Number
616-726-6437
Fax Number
616-957-1438
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6801078044 (Michigan)
Definition
Definition to come...
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