Individual
JESSICA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 ARCADIA DR NE, GRAND RAPIDS, MI 49525-2313
(616) 259-5146
Mailing address
1301 ARCADIA DR NE, GRAND RAPIDS, MI 49525-2313
(616) 259-5146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451017016
MI
Other
Enumeration date
01/16/2019
Last updated
07/20/2021
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