Individual
PETER BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 SEMINOLE RD SE, GRAND RAPIDS, MI 49506-6569
(616) 916-6847
Mailing address
1506 SEMINOLE RD SE, GRAND RAPIDS, MI 49506-6569
(616) 916-6847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4767779
MI
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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