Individual provider · Type 1 NPI

Ronald Craig Skidmore, MA, MA, MDIV, LPC

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MI

NPI number 1881811941 Active

Practice location

1514 Wealthy St SE, Suite 260
Grand Rapids, MI 49506-2755

Call (616) 451-3008 Map

Fax (616) 451-3070

Mailing address

1554 Mackinaw Rd SE
Grand Rapids, MI 49506-3349

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6401010233 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1881811941

Ronald Craig Skidmore, MA, MA, MDIV, LPC's National Provider Identifier is 1881811941, issued on Apr 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.