Organization
MONICA MICHAEL MA LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MARIA MICHAEL MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(616) 970-1599
Entity
Organization
Contact information
Practice address
6140 28TH ST SE STE 110, GRAND RAPIDS, MI 49546-6938
(616) 970-1599
Mailing address
PO BOX 930, ADA, MI 49301-0930
(616) 970-1599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/28/2023
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