Individual
MRS. MELISSA LYNN VANDER KOOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2663 44TH ST SW, WYOMING, MI 49519-4189
(616) 822-5518
Mailing address
2663 44TH ST SW STE 106, WYOMING, MI 49519-4189
(616) 258-2066
(866) 752-2359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007890
MI
Other
Enumeration date
08/17/2008
Last updated
07/21/2022
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