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Individual

JUDITH M TURNBULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5896
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
6401010119
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609925502
MI
05
1712452
MI
Enumeration date
01/09/2007
Last updated
12/18/2023
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