Individual
MRS. ELIZABETH JEAN MARIE TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LLP, CAADC
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
Mailing address
1701 FOREST DR, PORTAGE, MI 49002-6435
(269) 598-1178
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00940
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301010203
MI
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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