Individual
LAURA HOCKENBERRY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, LPC
Contact information
Practice address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
(616) 446-0813
Mailing address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015203
MI
Other
Enumeration date
07/09/2010
Last updated
07/29/2021
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