Individual
ADELINE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1410 84TH ST SW, BYRON CENTER, MI 49315-9344
(616) 222-0631
Mailing address
1530 BECKWITH VIEW AVE NE APT 13, GRAND RAPIDS, MI 49505-5882
(989) 763-0797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401017638
MI
101YP2500X
Professional Counselor
Primary
6401222395
MI
Other
Enumeration date
01/14/2020
Last updated
10/24/2022
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