Individual
EMMA MARIE SIMCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(231) 878-3924
Mailing address
5721 W TOWN DR UNIT 10, HUDSONVILLE, MI 49426-8855
(231) 878-3924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2019
Last updated
07/04/2022
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