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Individual

JOHN A CREVIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LPC

Contact information

Practice address
607 HERITAGE CT, HOLLAND, MI 49423-5481
(616) 396-6285
(616) 355-7704
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 235-2090
(616) 235-2099

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001483
MI

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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