NPI 1003413352

Kaile Videtich, LLMFT

Practitioner Marriage & Family Therapist Grand Rapids, MI

Practice location

Address: 630 Kenmoor Ave SE STE 103, Grand Rapids, MI 49546-8626
Phone: (616) 330-2330
Fax: (616) 600-0360
Mailing address: 1026 Cooper Ave SE, Grand Rapids, MI 49507-1459

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4151001001 (MI)

Other Marriage & Family Therapist providers in Michigan →

Registry record

NPI: 1003413352
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2020
Record last updated: 8 Oct 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.