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NPI Code Detail

MEDICARE: NATHANAEL CROPSEY LLPC

MEDICARE: NATHANAEL CROPSEY LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401016179MI

General Provider Information

NPI Number : 1457874794
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANAEL CROPSEY LLPC
Provider Business Mailing Address
First Line : 6758 E PRICE RD
Second Line :
City : SAINT JOHNS
State : MI
Zip : 48879-9188
Country : US
Telephone Number : 517-285-3895
Fax Number :
Provider Business Practice Location Address
First Line : 250 MONROE AVE NW
Second Line : STE 400
City : GRAND RAPIDS
State : MI
Zip : 49503-2293
Country : US
Telephone Number : 616-901-9507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 07/19/2017

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Directions to “ NATHANAEL CROPSEY LLPC” Practice Location

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