Individual
MICHELE REBECCA LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
388 GARDEN AVE, HOLLAND, MI 49424-8998
(616) 222-0631
Mailing address
1043 W 32ND ST, HOLLAND, MI 49423-6867
(616) 283-2582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022171
MI
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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