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KRISTINE KOETJE MA LP NPI 1598120545


NPI Information

NPI: 1598120545
Provider Name: KRISTINE KOETJE, MA LP

Doing Business As: COMPASSIONATE CHRISTIAN COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
17224 VAN WAGONER RD
SPRING LAKE, MI
ZIP 49456
Phone: (616) 296-2130
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KRISTINE KOETJE, MA LP is a mental health counselor in Spring Lake, MI. KRISTINE KOETJE, MA LP NPI is 1598120545. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Compassionate Christian Counseling.

The provider's business location address is:

17224 VAN WAGONER RD
SPRING LAKE, MI
ZIP 49456-702
Phone: (616) 296-2130
Fax: (616) 296-2148

The provider's authorized official is Kristine Koetje .
The authorized official title is Director/owner and has the following contact phone number (616) 296-2130.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health6401015087MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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