Female

Kayleen Depue LPC, CCS, CADC, LBSW

Professional Counselor in Grand Rapids, MI(View on Map)

Full Name

Kayleen Depue LPC, CCS, CADC, LBSW

NPI Number

1811263288

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/29/2012

Specialties

(Taxonomies)

Code

101YP2500X
1041C0700X
146M00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Michigan
Michigan
Michigan

License Number

6401014423
6802085626
3202002671

Contact
Information

Purpose

Mailing
Location

Address

3351 CLAYSTONE ST SE STE 212
100 CHERRY ST SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49546-5781
49503-4526

Country

US
US

Telephone Number

(616) 965-8282
(616) 965-8282

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/22/2022

Provider Address

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