Individual
SUSANNA START
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5896
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401001534
MI
101YP2500X
Professional Counselor
6401001534
MI
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/17/2012
Last updated
03/21/2024
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