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Organization
MICHAEL W ELGERSMA
Active
Organization
MICHAEL W ELGERSMA
Active
Other names
Elgersma Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
NICHAEL W ELGERSMA (LCPC)
(616) 644-1314
Entity
Organization
Contact information
Practice address
262 CHATSWORTH AVE, SUGAR GROVE, IL 60554-9475
(616) 644-1314
Mailing address
262 CHATSWORTH AVE, SUGAR GROVE, IL 60554-9475
(616) 644-1314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972946028
NPI
—
05
—
366023638001
—
IL
Enumeration date
09/28/2021
Last updated
10/24/2021
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