Individual
JOSUE RENATO GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1560 LEONARD ST NE, GRAND RAPIDS, MI 49505-5572
(616) 456-6571
Mailing address
1560 LEONARD ST NE, GRAND RAPIDS, MI 49505-5572
(616) 456-6571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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