Individual
KATIE JEAN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1537 HIDDEN CREEK CIRCLE DR NE APT A, GRAND RAPIDS, MI 49505-5485
(734) 564-1259
Mailing address
1537 HIDDEN CREEK CIRCLE DR NE APT A, GRAND RAPIDS, MI 49505-5485
(734) 564-1259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801112220
MI
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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