MR. RONALD CRAIG SKIDMORE MA MA MDIV LPC NPI 1881811941

NPI Information

NPI: 1881811941
Provider Name: MR. RONALD CRAIG SKIDMORE, MA, MA, MDIV, LPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1514 WEALTHY ST SE
SUITE 260
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 451-3008
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MR. Ronald Craig Skidmore, MA, MA, MDIV, LPC is an addiction (substance use disorder) counselor in Grand Rapids, MI. MR. Ronald Craig Skidmore, MA, MA, MDIV, LPC NPI is 1881811941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1514 WEALTHY ST SE
SUITE 260
GRAND RAPIDS, MI
ZIP 49506-755
Phone: (616) 451-3008
Fax: (616) 451-3070

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6401010233	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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