Individual provider · Type 1 NPI

Paul Timothy Samuelson, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1134442502 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401009994 (MI)

Professional Counselor: Definition to come...

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About NPI 1134442502

Paul Timothy Samuelson, LPC's National Provider Identifier is 1134442502, issued on Mar 12, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 5, 2024.