Individual
JULIE STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
9090 S RODGERS CT SE STE D, CALEDONIA, MI 49316-8052
(616) 891-8770
(616) 891-3504
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002953A
IN
101YP2500X
Professional Counselor
Primary
6401016395
MI
Other
Enumeration date
11/21/2016
Last updated
01/23/2018
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