Individual
MICHELLE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MONROE AVE NW STE 400, GRAND RAPIDS, MI 49503-2293
(616) 228-1286
Mailing address
6436 MILLSTREAM LOOP SE, CALEDONIA, MI 49316-9179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015215
MI
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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