Individual
MICHAEL JOHN WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7791 BYRON CENTER AVE SW, BYRON CENTER, MI 49315-8412
(800) 453-7733
Mailing address
11479 92ND AVE, ALLENDALE, MI 49401-7511
(616) 214-0356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016613
MI
Other
Enumeration date
04/25/2018
Last updated
07/31/2020
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