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Individual

MRS. MARISSA ELLEN SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHS

Contact information

Practice address
375 APPLE TREE DR., IONIA, MI 48846-7506
(616) 527-1790
(616) 527-0538
Mailing address
375 APPLE TREE DR., IONIA, MI 48846-7506
(616) 527-1790
(616) 527-0538

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MI
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1715928
MI
Enumeration date
01/25/2019
Last updated
02/16/2023
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