Individual
DIANE J SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
826 PARCHMENT DR SE STE 100, GRAND RAPIDS, MI 49546-2307
(616) 540-0026
Mailing address
826 PARCHMENT DR SE STE 100, GRAND RAPIDS, MI 49546-2307
(616) 540-0026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401015672
MICHIGAN PROFESSIONAL COUNSELOR LICENSE
MI
01
—
81-5104899
BUSINESS TAX ID
MI
Enumeration date
02/28/2018
Last updated
02/28/2018
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