Individual provider · Type 1 NPI

Lisa Jean Rathbun, L.M.S.W., A.C.S.W.

Professional Counselor · Grand Rapids, MI

NPI number 1811056872 Active

Practice location

4477 Cascade Rd SE
Grand Rapids, MI 49546-3632

Call (616) 726-6437 Map

Fax (616) 957-1438

Mailing address

3130 Hoehn St N.w.
Grand Rapids, MI 49504-2488

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6801078044 (MI)

Professional Counselor: Definition to come...

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About NPI 1811056872

Lisa Jean Rathbun, L.M.S.W., A.C.S.W.'s National Provider Identifier is 1811056872, issued on Dec 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.