Individual
CHRISTINA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 303-1313
Mailing address
56 MONROE CENTER ST NW APT 4, GRAND RAPIDS, MI 49503-2937
(616) 965-6696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023383
MI
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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