Individual
JUSTYNE ORTQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 638-7408
Mailing address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 638-7408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018810
MI
106H00000X
Marriage & Family Therapist
4101006765
MI
Other
Enumeration date
04/17/2017
Last updated
11/19/2020
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