Individual provider · Type 1 NPI
Kailie George
Mental Health Counselor · Grand Rapids, MI
NPI number
1790597151
Active
Practice location
155 Sweet St NE
Grand Rapids, MI 49505-4601
Mailing address
3401 Deering Dr
Raleigh, NC 27616-8681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A20213 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1790597151
Kailie George's National Provider Identifier is 1790597151, issued on Jan 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 23, 2025.