Individual
GRACE YENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
1145 W RANDALL ST STE 2A, COOPERSVILLE, MI 49404-1393
(616) 361-5001
Mailing address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-5001
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301017899
MI
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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