| Grand Haven Counseling Llc | |
|
1703 S Despelder St Grand Haven MI 49417-2649 | |
| (616) 901-6967 | |
| Not Available |
| Full Name | Grand Haven Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1703 S Despelder St, Grand Haven, Michigan |
| Authorized Official Name and Position | Jeremy Wiersma (OWNER) |
| Authorized Official Contact | 6169016967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Haven Counseling Llc 1703 S Despelder St Grand Haven MI 49417-2649 Ph: (616) 901-6967 | Grand Haven Counseling Llc 1703 S Despelder St Grand Haven MI 49417-2649 Ph: (616) 901-6967 |
| NPI Number | 1427539543 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427539543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401015173 (Michigan) | Primary |
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