Individual
AMANDA KIMBERLY FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 LEONARD ST NE, GRAND RAPIDS, MI 49505-5572
(616) 460-7647
(616) 458-5430
Mailing address
8576 JASONVILLE CT SE, CALEDONIA, MI 49316-8287
(847) 858-9889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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