Individual
HEATHER C MILLER- EDWARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC,LLMFT
Contact information
Practice address
500 CASCADE WEST PKWY SE STE 100, GRAND RAPIDS, MI 49546-2127
(269) 757-4867
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013676
MI
106H00000X
Marriage & Family Therapist
4101006578
MI
Other
Enumeration date
08/05/2013
Last updated
05/04/2020
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