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Individual

MRS. KATIE FARNQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA COUNSELING, LPC

Contact information

Practice address
1388 BALDWIN ST., SUITE A, JENISON, MI 49426
(616) 296-2130
Mailing address
1388 BALDWIN ST., SUITE A, JENISON, MI 49426
(616) 296-2130

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014659
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952845182
LICENSE
MI
Enumeration date
12/07/2016
Last updated
01/30/2025
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