Individual
JACQUELINE KAY GERLOFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
233 FULTON ST E STE 114B, GRAND RAPIDS, MI 49503-3200
(616) 208-5032
Mailing address
5488 WILSON AVE, HUDSONVILLE, MI 49426-1529
(616) 862-0426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
BEHAVIORAL HEALTH/SOCIAL SERVICES
MI
Enumeration date
04/23/2013
Last updated
06/08/2020
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