Individual
MRS. JULIANNE ROSE LETTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525
(616) 644-3962
Mailing address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
(616) 644-3962
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013778
MI
Other
Enumeration date
08/12/2013
Last updated
02/21/2019
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