Individual provider · Type 1 NPI

Bryan Ross Creeger

Mental Health Counselor · Grand Rapids, MI

NPI number 1013313105 Active

Practice location

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426

Mailing address

241 Henry Ave SE Apt 4
Grand Rapids, MI 49503-5812

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X64011014260 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1013313105

Bryan Ross Creeger's National Provider Identifier is 1013313105, issued on Nov 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 17, 2014.