Individual
MS. AMY REBECCA BROCKSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
TEN16 RECOVERY NETWORK, 1302 CHATTERTON ST. 2, GLADWIN, MI 48624
(989) 426-8886
Mailing address
2305 E PARIS AVE SE, ST. 203, GRAND RAPIDS, MI 49546-2426
(616) 929-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013612
MI
Other
Enumeration date
05/03/2013
Last updated
05/07/2019
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