Individual
MS. GINA MENUEZ BORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546
(616) 217-9964
Mailing address
2436 SANTA MONICA DR SE, GRAND RAPIDS, MI 49506
(330) 231-4474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023019
MI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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