Organization
GRAND HAVEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WIERSMA (OWNER)
(616) 901-6967
Entity
Organization
Contact information
Practice address
1703 S DESPELDER ST, GRAND HAVEN, MI 49417-2649
(616) 901-6967
Mailing address
1703 S DESPELDER ST, GRAND HAVEN, MI 49417-2649
(616) 901-6967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015173
MI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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