Individual
ELIZABETH ANNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
393 GARDEN AVE, HOLLAND, MI 49424-9602
(719) 344-3376
Mailing address
393 GARDEN AVE, HOLLAND, MI 49424-9602
(719) 344-3376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401015656
STATE LICENSE
MI
Enumeration date
08/02/2016
Last updated
01/06/2026
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