Organization
CHELSEA WIERSEMA LMSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA ANNE WIERSEMA LMSW (CLINICAL THERAPIST/ LLC OWNER)
(616) 617-6493
Entity
Organization
Contact information
Practice address
185 44TH ST SW STE E, GRANDVILLE, MI 49418-3363
(616) 294-0754
Mailing address
4240 HAVANA AVE SW, WYOMING, MI 49509-4347
(616) 617-6493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/26/2019
Last updated
07/15/2019
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