Individual
MRS. ERICA KOETSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., TLLP
Contact information
Practice address
2305 E PARIS AVE SE, SUITE 203, GRAND RAPIDS, MI 49546-2426
(616) 929-0226
Mailing address
2305 E PARIS AVE SE, SUITE 203, GRAND RAPIDS, MI 49546-2426
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015560
MI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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