Individual
JEFFREY SIEG MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3351 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 443-7863
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007146
MI
Other
Enumeration date
05/11/2007
Last updated
12/20/2023
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