Individual
REBECCA JO GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
200 TIMBERCREST CT., HOLLAND, MI 49424-4942
(616) 994-3368
Mailing address
200 TIMBERCREST CT., HOLLAND, MI 49424-4942
(616) 994-3368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451008604
MI
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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