Individual
BRIANNE ILYSE ROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12930 JAMES ST STE 140, HOLLAND, MI 49424-8324
(616) 422-7775
Mailing address
3444 ELK DR, ZEELAND, MI 49464-6831
(616) 610-1697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224345
MI
Other
Enumeration date
06/30/2021
Last updated
10/02/2025
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