Individual
JONATHAN MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4829 E BELTLINE AVE NE, SUITE 103, GRAND RAPIDS, MI 49525-9747
(616) 734-9417
Mailing address
4829 E BELTLINE AVE NE, SUITE 103, GRAND RAPIDS, MI 49525-9747
(616) 734-9417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010812
MI
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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