Organization · Type 2 NPI

William Blake Kooi

Professional Counselor · Grand Rapids, MI

NPI number 1720567290 Active

Practice location

534 Fountain St NE
Grand Rapids, MI 49503-3422

Call (616) 710-1504 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014874 (MI)

Professional Counselor: Definition to come...

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About NPI 1720567290

William Blake Kooi's National Provider Identifier is 1720567290, issued on Aug 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 7, 2018.