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Provider Information for 1538598446


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RICHARD A MAIER LPC, CAADC


Sex: Male

NPI: 1538598446
Last Updated: 2024-05-21
Certification Date: 2024-05-21

Details

NameValue
NPI1538598446
Enumeration Date2013-11-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1428 44TH ST SW STE D
WYOMING, MI 49509-4312
United States

Phone: 616-209-9222 | Fax:616-259-4856
 
Primary Practice Address 1428 44TH ST SW STE D
WYOMING, MI 49509-4312
United States

Phone: 616-209-9222 | Fax:616-259-4856
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMI6401013823