James Fongers, MSW, LMSW

NPI 1235458878 · on the registry since 2010 · sole proprietor

Practice

Address: 1870 Leonard St Ne
Grand Rapids, MI 49505
Phone: (616) 956-1122
Organisation at this address: Pine Rest Christian Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan