Individual provider · Type 1 NPI

Philip Gastineau, LPC

Professional Counselor · Jenison, MI

NPI number 1780172494 Active

Practice location

1836 Baldwin St
Jenison, MI 49428-8901

Call (616) 457-0016 Map

Mailing address

6604 Blue Mist Rd
Fort Wayne, IN 46819-1502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X88000602A (IN)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

13 other providers at this address

Other professional counselor providers in Jenison

See all in Jenison →

About NPI 1780172494

Philip Gastineau, LPC's National Provider Identifier is 1780172494, issued on Apr 27, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jenison, MI. The record was last updated on Dec 19, 2024.