Kubiak, Amanda
Kubiak, Amanda is an sole proprietor health care provider with primary practice located at 1115 Ball Ave Ne , Grand Rapids MI 49505-5904. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Kubiak, Amanda can be contacted via phone (616) 456-6571.Contact Information
Primary practice address
1115 Ball Ave Ne
Grand Rapids MI 49505-5904
Phone: (616) 456-6571
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
NPI number | 1669945564 |
---|---|
LBN Legal business name | Kubiak, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2019 |
Last updated | Jan 3rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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