Provider Demographics
NPI:1538598446
Name:MAIER, RICHARD A (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:MAIER
Suffix:
Gender:M
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 44TH ST SW STE D
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-4312
Mailing Address - Country:US
Mailing Address - Phone:616-209-9222
Mailing Address - Fax:616-259-4856
Practice Address - Street 1:1428 44TH ST SW STE D
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-4312
Practice Address - Country:US
Practice Address - Phone:616-209-9222
Practice Address - Fax:616-259-4856
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013823101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional