Individual provider · Type 1 NPI

Richard Lyle Church, MA

Professional Counselor · Kalamazoo, MI

NPI number 1457409575 Active

Practice location

4031 W Main St, Suite 400
Kalamazoo, MI 49006-3730

Call (269) 760-6265 Map

Mailing address

4300 Londonderry Ave
Kalamazoo, MI 49006-2758

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401000376 (MI)
Clinical Social Worker 1041C0700X6801058133 (MI)

Professional Counselor: Definition to come...

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About NPI 1457409575

Richard Lyle Church, MA's National Provider Identifier is 1457409575, issued on Jan 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalamazoo, MI. The record was last updated on Mar 11, 2009.