Individual
MRS. BRIANNA JOY HENIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
640 3 MILE RD NW, GRAND RAPIDS, MI 49544-8209
(800) 693-1916
Mailing address
640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544-8209
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007308
MI
103TC1900X
Counseling Psychologist
6301017750
MI
103TC1900X
Counseling Psychologist
6361007308
MI
103TC1900X
Counseling Psychologist
6362005050
MI
Other
Enumeration date
12/19/2018
Last updated
03/26/2021
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