Individual
MRS. ADINA CORNELIA WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 308-7120
Mailing address
1731 CAMBRIDGE DR SE, GRAND RAPIDS, MI 49506-4423
(616) 308-7120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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