Individual
TRAVIS SWIERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
(616) 965-8200
Mailing address
10313 TYLER ST, ZEELAND, MI 49464-9782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6402023330
MI
104100000X
Social Worker
6802071076
MI
Other
Enumeration date
03/28/2012
Last updated
12/14/2017
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