Mark Olexa's National Provider Identifier (NPI) Details
Mark Olexa, MA, LPC, LMSW
NPI: 1295935286
Enumeration Date: 2007-07-19
Last updated: 2012-06-26
Sole Proprietor: YES
Status: active
Postal Address: 3130 BROCKWOOD DR NE, GRAND RAPIDS, MI
Phone: 616-560-4036
Primary Practice Address: 4829 E BELTLINE AVE NE, BUILDING ONE, SUITE 103, GRAND RAPIDS, MI
Practice's phone: 616-560-4036