Individual
ALICIA KATHERINE MANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423
(616) 355-3926
Mailing address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423-7141
(616) 355-3926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009558
MI
Other
Enumeration date
03/29/2007
Last updated
11/05/2018
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