Individual
MS. KELLY DAMRON HOEKENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
321 FULTON AVE, GRAND HAVEN, MI 49417
(616) 842-4772
Mailing address
6645 S WALKER RD, FRUITPORT, MI 49415-8910
(231) 865-3799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009677
MI
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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