Individual
MRS. MONICA VANWIENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1388 BALDWIN ST, JENISON, MI 49428-8937
(616) 259-9220
Mailing address
1388 BALDWIN ST, JENISON, MI 49428-8937
(616) 259-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022328
MI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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