Individual
MCKENNA BOCKHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 WASHINGTON ST SE, GRAND RAPIDS, MI 49503-4359
(616) 822-7716
Mailing address
4235 SUMMERWIND AVE NE, GRAND RAPIDS, MI 49525-9511
(616) 822-7716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851110426
MI
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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