Individual
VERONICA ALEXANDREA MARIE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 469-3870
Mailing address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 469-3870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2019
Last updated
05/20/2024
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