Individual
AMY ALBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 W CENTRE AVE, PORTAGE, MI 49024-6312
(269) 366-0650
Mailing address
1416 E ALCOTT ST, KALAMAZOO, MI 49001-4345
(269) 599-7672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017678
MI
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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