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1345 Monroe Ave Nw Ste 332 Grand Rapids MI 49505-4673 | |
| (616) 796-4335 | |
| (616) 381-4089 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1345 Monroe Ave Nw Ste 332, Grand Rapids, Michigan |
| Authorized Official Name and Position | Teresa Hultink (OWNER) |
| Authorized Official Contact | 6167964335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1345 Monroe Ave Nw Ste 332 Grand Rapids MI 49505-4673 Ph: (616) 796-4335 | 1345 Monroe Ave Nw Ste 332 Grand Rapids MI 49505-4673 Ph: (616) 796-4335 |
| NPI Number | 1659147551 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659147551 | NPI | - | NPPES |
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