Individual
CHRISTINA MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2459
(616) 247-3815
Mailing address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
11/29/2022
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