Individual provider · Type 1 NPI

Katie Jean Proctor, LMSW

Mental Health Counselor · Grand Rapids, MI

NPI number 1295426773 Active

Practice location

1537 Hidden Creek Circle Dr NE Apt A
Grand Rapids, MI 49505-5485

Call (734) 564-1259 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6801112220 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1295426773

Katie Jean Proctor, LMSW's National Provider Identifier is 1295426773, issued on May 16, 2023. 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 May 16, 2023.