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Individual

BARBARA ANN MAYWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CCS, CAADC

Contact information

Practice address
1956 BOSTON ST SE, GRAND RAPIDS, MI 49506
(616) 776-0891
(616) 243-9854
Mailing address
1956 BOSTON ST SE, GRAND RAPIDS, MI 49506-4169
(616) 776-0891
(616) 243-9854

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010152
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401010152
MICHIGAN LICENSE LPC
MI
01
C00736
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CAADC
MI
01
S20108
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CCS
MI
Enumeration date
03/08/2012
Last updated
03/08/2012
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