Individual
RAELYNN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546
(616) 202-4444
(517) 323-9531
Mailing address
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7717
(616) 202-4444
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016655
MI
Other
Enumeration date
05/21/2018
Last updated
05/22/2018
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