Individual provider · Type 1 NPI

Kayleen Depue, LPC, CCS, CADC, LBSW

Professional Counselor · Grand Rapids, MI

NPI number 1811263288 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Call (616) 965-8282 Map

Mailing address

3351 Claystone St SE Ste 212
Grand Rapids, MI 49546-5781

Specialties and licenses

TaxonomyCodeLicense
Intermediate Emergency Medical Technician 146M00000X3202002671 (MI)
Clinical Social Worker 1041C0700X6802085626 (MI)
Professional Counselor Primary 101YP2500X6401014423 (MI)

Professional Counselor: Definition to come...

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About NPI 1811263288

Kayleen Depue, LPC, CCS, CADC, LBSW's National Provider Identifier is 1811263288, issued on Mar 29, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 22, 2022.