Individual
MARILYN BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSC, LLPC
Contact information
Practice address
4920 PLAINFIELD AVE NE STE 5, GRAND RAPIDS, MI 49525-1010
(616) 460-6448
Mailing address
4920 PLAINFIELD AVE NE STE 5, GRAND RAPIDS, MI 49525-1010
(616) 460-6448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
640101436
MI
101YS0200X
School Counselor
SC0000000793839
MI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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