NPI 1003250242

Marilyn Dale, LPC

Practitioner Professional Counselor Grand Rapids, MI

Practice location

Address: 5005 Plainfield Ave NE STE 100, Grand Rapids, MI 49525
Phone: (616) 279-3869
Fax: (616) 608-4657

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401000980 (MI)

Other Counselor providers in Michigan →

Registry record

NPI: 1003250242
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2013
Record last updated: 28 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.