Individual
LUKE WOLTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
678 FRONT AVE NW, GRAND RAPIDS, MI 49504-5325
(616) 916-3711
Mailing address
750 GRACELAND ST NE, GRAND RAPIDS, MI 49505-4258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023193
MI
Other
Enumeration date
09/12/2023
Last updated
10/06/2023
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