Individual
MR. FREDERICK JOSEPH DELONG IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
3120 RIDGES BND APT 201, GRAND RAPIDS, MI 49546-5437
(612) 770-8223
Mailing address
3120 RIDGES BND APT 201, GRAND RAPIDS, MI 49546-5437
(612) 770-8223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022421
MI
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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