Individual
ALEXANDRA JUNE GROOTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 901-7791
Mailing address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-25-81290
MI
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
—
MI
Other
Enumeration date
03/11/2019
Last updated
05/28/2025
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