Individual
MR. KIUAN JHERNELL HEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1560 LEONARD AVE NE, GRAND RAPIDS, MI 49505
(616) 456-6571
(616) 458-5640
Mailing address
1560 LEONARD AVE NE, GRAND RAPIDS, MI 49505
(616) 456-6571
(616) 458-5640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401012911
MI
101YM0800X
Mental Health Counselor
Primary
6401018116
MI
Other
Enumeration date
08/13/2013
Last updated
08/12/2020
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