Individual
BETH ANNE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
Mailing address
2096 N STATE RD LOT 98, IONIA, MI 48846-9563
(517) 732-4260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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