Individual
DR. CHARMEKA S NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1350 W CENTRE AVE, PORTAGE, MI 49024
(269) 910-7327
(269) 910-7328
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MI
103T00000X
Psychologist
Primary
6301014388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883502
—
MI
Enumeration date
12/17/2009
Last updated
09/04/2018
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