Organization
TRUISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBB KORNOELJE LLPC,MA (OWNER)
(616) 499-7711
Entity
Organization
Contact information
Practice address
221 TROWBRIDGE ST NE APT 208, GRAND RAPIDS, MI 49503-1891
(616) 499-7711
Mailing address
221 TROWBRIDGE ST NE APT 208, GRAND RAPIDS, MI 49503-1891
(616) 499-7711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401017330
STATE OF MICHIGAN
—
Enumeration date
05/23/2019
Last updated
05/23/2019
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