Individual
ASHLEY CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
2116 N MANITOU CIR, NORTON SHORES, MI 49441-4210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016599
MI
103T00000X
Psychologist
6301017303
MI
Other
Enumeration date
12/25/2017
Last updated
03/15/2020
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