Individual
ALLISON ORTQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2389 WICKHAM DR, MUSKEGON, MI 49441-3176
(616) 834-7999
Mailing address
2389 WICKHAM DR, MUSKEGON, MI 49441-3176
(616) 834-7999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-21-56261
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2017
Last updated
05/17/2024
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