Individual
HEATHER MAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
100 CHERRY ST SE, RESEARCH DEPARTMENT, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5362
Mailing address
100 CHERRY ST SE, RESEARCH DEPARTMENT, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010605
MI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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