Individual
MRS. ELLEN RUTH EGGERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
340 104TH AVE, HOLLAND, MI 49423-9149
(616) 953-0042
Mailing address
540 E RICH AVE, ZEELAND, MI 49464-1922
(616) 953-0042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016688
MI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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