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Search › Michigan › 101YP2500X

Katherine Jack, LPC

NPI 1588216048 · on the registry since 2019

Practice

Address
3351 Claystone St Se Ste G32
Grand Rapids, MI 49546
Phone
(616) 259-6827
Organisation at this address
Alpha Life, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
CO, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-19

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