Individual
MISS VICTORIA ROSE FEDDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 PLYMOUTH AVE NE # 6028, GRAND RAPIDS, MI 49505-6028
(616) 888-1120
Mailing address
1616 BOSTON ST SE, GRAND RAPIDS, MI 49506-4415
(616) 245-6843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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