Individual
HEIDI MARIE KIACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSC, NCC, MA
Contact information
Practice address
3310 EAGLE PARK DR NE, GRAND RAPIDS, MI 49525-4574
(616) 915-8073
Mailing address
508 HOWARD AVE, HOLLAND, MI 49424-2739
(616) 928-5048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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