Individual provider · Type 1 NPI

Polly Ann McCaul, LLC

Professional Counselor · Kentwood, MI

NPI number 1790455293 Active

Practice location

3744 28th St SE
Kentwood, MI 49512-1802

Call (800) 395-3223 Map

Fax (248) 620-6405

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Other practice locations

  • 3777 44th St SE Ste 2, Grand Rapids, MI 49512-3945 · (616) 209-9192

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X6401017485 (MI)
Professional Counselor Primary 101YP2500X6451017485 (MI)

Professional Counselor: Definition to come...

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About NPI 1790455293

Polly Ann McCaul, LLC's National Provider Identifier is 1790455293, issued on Sep 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kentwood, MI. The record was last updated on Feb 7, 2024.