Individual
TAYLORA BOOKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4998 BELDING RD, BELDING, MI 48809-8569
(616) 902-9007
Mailing address
3087 POTTERS RD, IONIA, MI 48846-8514
(616) 902-9007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015691
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401015691
MI
101YM0800X
Mental Health Counselor
6401015691
MI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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