Individual
BREANNA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Mailing address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022226
MI
Other
Enumeration date
06/27/2022
Last updated
01/01/2025
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