Organization
LANTERN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI J NERESON-BOTT LPC (CO-OWNER/THERAPIST)
(616) 826-9662
Entity
Organization
Contact information
Practice address
4764 FULTON ST E, ADA, MI 49301-9086
(616) 378-6201
Mailing address
2601 HAGUE AVE SW, WYOMING, MI 49519-2335
(616) 826-9662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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