Individual provider · Type 1 NPI

Lucas Koole, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1023473121 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 455-5000 Map

Fax (616) 455-5960

Other practice locations

  • 3083 Washington Ave SW Ste B-4, Grandville, MI 49418-1588 · (616) 443-8785
  • 30 Jefferson Ave SE, Grand Rapids, MI 49503-4304 · (616) 443-8785

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLH60629508 (WA)
Professional Counselor Primary 101YP2500X6401019158 (MI)

Professional Counselor: Definition to come...

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About NPI 1023473121

Lucas Koole, LPC's National Provider Identifier is 1023473121, issued on Dec 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 27, 2023.