Individual
CARLEE JO IWEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
(616) 805-3660
Mailing address
1428 10TH ST NW, GRAND RAPIDS, MI 49504-3976
(231) 282-0280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017035
MI
Other
Enumeration date
02/11/2019
Last updated
04/11/2019
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