Individual
MRS. MELISSA WIEREMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
321 HAMILTON ST, GENEVA, IL 60134-2148
(630) 686-2282
Mailing address
8145 HAWLEY RD, WILLIAMSBURG, MI 49690-8522
(630) 388-8780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016642
MI
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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