Individual
LAUREL RAE BACKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
170 COLLEGE AVE STE 310, HOLLAND, MI 49423-2982
(616) 426-9034
Mailing address
170 COLLEGE AVE STE 310, HOLLAND, MI 49423-2982
(616) 426-9034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022110
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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