Individual
MISS JANE MARIE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3765
Mailing address
7900 VERONA DR SW, BYRON CENTER, MI 49315-7501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015278
MI
Other
Enumeration date
08/11/2016
Last updated
05/01/2018
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