Individual
MRS. JANICE HEINLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 PRAIRIE ST SW STE 104, GRANDVILLE, MI 49418-2076
(616) 537-2872
Mailing address
3181 PRAIRIE ST SW STE 104, GRANDVILLE, MI 49418-2076
(616) 537-2872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401014612
MI
101YP2500X
Professional Counselor
Primary
6401018844
MI
Other
Enumeration date
03/02/2018
Last updated
08/15/2023
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