Individual
MADELYN WIERENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
21 W 16TH ST, HOLLAND, MI 49423-3320
(888) 924-8326
Mailing address
7515 RED OSIER DR SW, BYRON CENTER, MI 49315-9473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851119262
MI
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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