Individual
SUSAN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
503 CENTURY LN, HOLLAND, MI 49423-4318
(616) 402-7954
Mailing address
503 CENTURY LN, HOLLAND, MI 49423-4318
(616) 402-7954
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009495
MI
Other
Enumeration date
05/11/2016
Last updated
11/19/2024
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