Individual
BRIGID EILLEEN HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(906) 319-8725
Mailing address
881 44TH ST SW UPPR, WYOMING, MI 49509-4413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401224540
MI
Other
Enumeration date
08/02/2022
Last updated
03/11/2025
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