Search › Michigan › 1041C0700X
Kelsea Peck, LMSW
NPI 1437704327 · on the registry since 2019
Practice
- Address
- 1150 Ball Ave Ne
Grand Rapids, MI 49505 - Phone
- (616) 456-6571
- Fax
- (616) 235-0979
Additional practice sites
- 790 Fuller Ave Ne, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-18
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