Individual
KIRK ANDRIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3980 CHICAGO DR SW STE 114, GRANDVILLE, MI 49418-1392
(616) 209-9295
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851103239
MI
Other
Enumeration date
11/12/2021
Last updated
11/06/2023
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