Individual
ANTOINETTE MONIQUE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAADC
Contact information
Practice address
601 MARTIN LUTHER KING JR ST, GRAND RAPIDS, MI 49507-1304
(616) 570-0573
(616) 965-3460
Mailing address
601 MARTIN LUTHER KING JR ST, GRAND RAPIDS, MI 49507-1304
(616) 570-0573
(616) 965-3460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401222860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401222860
—
MI
05
—
6451017298
—
MI
01
—
C-04959
MCBAP
MI
Enumeration date
06/17/2019
Last updated
09/22/2023
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