Individual
MR. JONATHAN JURIS MIKELSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, SCL
Contact information
Practice address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
(269) 808-7198
Mailing address
333 BRIDGE ST NW STE 1120, GRAND RAPIDS, MI 49504-5356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401225604
MI
101YM0800X
Mental Health Counselor
6401225604
MI
101YP2500X
Professional Counselor
6401225604
MI
Other
Enumeration date
11/20/2023
Last updated
10/15/2025
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