MRS. Shasta Lane Gross, MA, LPC is a professional counselor in Grand Rapids, MI. MRS. Shasta Lane Gross, MA, LPC NPI is 1184143539. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2305 E PARIS AVE SE STE 203
GRAND RAPIDS, MI
ZIP 49546-426
Phone: (616) 816-1758
Fax: (616) 333-7685
The NPI 1184143539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 9/18/2017 and was last updated on 12/4/2023.