Skidmore, Cecilia Mae
Skidmore, Cecilia Mae is an sole proprietor health care provider with primary practice located at 1514 Wealthy St Se Suite 260, Grand Rapids MI 49506-2755. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Skidmore, Cecilia Mae can be contacted via phone (616) 451-3008.Contact Information
Primary practice address
1514 Wealthy St Se Suite 260
Grand Rapids MI 49506-2755
Phone: (616) 451-3008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401001787 | Michigan |
Profile Details
| NPI number | 1760533632 |
|---|---|
| LBN Legal business name | Skidmore, Cecilia Mae |
| Credentials | M.A., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760533632 | NPPES |
| Michigan | Other | 6401001767 | COUNSELOR LICENSE |
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