Individual
MARK REIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3944 GRAND HAVEN RD APT 204C, NORTON SHORES, MI 49441
(231) 725-5487
Mailing address
3944 GRAND HAVEN RD. APT. 204C, MUSKEGON, MI 49441
(231) 725-5487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
09/30/2014
Last updated
10/02/2014
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