Individual
JEROMY KROGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 PARCHMENT DRIVE SE, GRAND RAPIDS, MI 49546
(231) 580-4955
Mailing address
826 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-2307
(231) 580-4955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016343
MI
101YM0800X
Mental Health Counselor
Primary
6401016343
MI
101YM0800X
Mental Health Counselor
6401016343
—
Other
Enumeration date
03/27/2018
Last updated
10/13/2020
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