Individual
HEIDI NERESON-BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
221 TROWBRIDGE ST NE, GRAND RAPIDS, MI 49503-1885
(616) 499-7711
Mailing address
2601 HAGUE AVE SW, WYOMING, MI 49519-2335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016112
MI
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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