Individual
MS. LAURIE ELAINE NYQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
4829 E BELTLINE AVE NE, SUITE #103, GRAND RAPIDS, MI 49525-9747
(616) 217-8612
(616) 466-7953
Mailing address
4829 E BELTLINE AVE NE, SUITE #103, GRAND RAPIDS, MI 49525-9747
(616) 217-8612
(616) 466-7953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6301010905
MI
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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