LAKESHORE PSYCHOLOGICAL & COUNSELING SERVICES, PC
Psychologist at Raybrook St, Grand Rapids, MI

License number
Michigan 6401009797
Category
Social Work
Type
Professional
License number
Michigan 6301011612
Category
Psychologist
Type
Psychologist
Owner
Name: JAMES DOHERTY PSYD
Title: OWNER
Phone: (616) 464-1747
Address
Address
2020 Raybrook St SE SUITE 303, Grand Rapids, MI 49546
National Provider ID: 1487068458
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKESHORE PSYCHOLOGICAL & COUNSELING SERVICES PC

Grand Rapids, MI

Registration:
Sep 5, 2012
Addresses:
2020 Raybrook SE STE 303, Grand Rapids, MI 49546 (Physical)
Michigan (Mailing)
State ID:
04563H
Business type:
Domestic Professional Service Corporation
Agent:
Regina Essex Doherty

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