Provider Demographics
NPI:1245758259
Name:ROP, ESTHER JELAGAT
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:JELAGAT
Last Name:ROP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 36TH ST SE STE 400
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-5581
Mailing Address - Country:US
Mailing Address - Phone:616-965-8014
Mailing Address - Fax:616-254-7750
Practice Address - Street 1:1050 36TH ST SE STE 400
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-5581
Practice Address - Country:US
Practice Address - Phone:616-965-8014
Practice Address - Fax:616-254-7750
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional