Individual
HOLLY CRAMBLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6361002922
MI
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
6361002922
MI
103TC1900X
Counseling Psychologist
Primary
6361002922
MI
Other
Enumeration date
12/17/2013
Last updated
12/17/2020
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