Individual
STEPHANIA J PARDO-JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 419-7938
Mailing address
2647 STARBOARD CT SE APT 204, GRAND RAPIDS, MI 49512-9013
(616) 419-7938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023310
MI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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