Sacred Space Counseling
NPI #1487902003 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1487902003
- Entity Type
- Organization
- Organization Name
- Sacred Space Counseling
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 29, 2012
- Last Updated
- May 12, 2015
Practice Location
- Address
- 17214 VAN WAGONER RD
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-9702
- Phone
- (616) 405-4188
Authorized Official
- Name
- ROBERT DECKERT, LPC
- Title
- PRESIDENT
- Phone
- (616) 405-4188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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