Individual
MRS. ELIZABETH JOANNE VAN PORTFLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 303-1313
Mailing address
745 EASTHILL DR NE, COMSTOCK PARK, MI 49321-9509
(616) 337-8190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224078
MI
Other
Enumeration date
10/06/2023
Last updated
10/14/2024
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