Organization
LAURA HOCKENBERRY GARDNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HOCKENBERRY GARDNER (OWNER OPERATOR)
(616) 446-0813
Entity
Organization
Contact information
Practice address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
(616) 446-0813
Mailing address
3280 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301014494
MI
Other
Enumeration date
05/11/2018
Last updated
07/29/2021
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