Individual
MARIELLA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
40 KIRTLAND ST SW, GRAND RAPIDS, MI 49507-2927
(616) 293-2772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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