Individual
MR. BRIAN JAMES HIGHSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
393 GARDEN AVE, HOLLAND, MI 49424-9602
(616) 920-0729
Mailing address
393 GARDEN AVE., SUITE 110, HOLLAND, MI 49424
(616) 222-0631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891049219
—
MI
Enumeration date
11/07/2012
Last updated
04/29/2024
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