Individual provider · Type 1 NPI
Rachel Mantle-Douglas, LPC
Professional Counselor · Grand Rapids, MI
NPI number
1477827152
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Fax (616) 258-7432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401011166 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401011166 (MI) |
Professional Counselor: Definition to come...
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About NPI 1477827152
Rachel Mantle-Douglas, LPC's National Provider Identifier is 1477827152, issued on Feb 28, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 8, 2020.