Individual
JEREMYN DUANE WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1703 S. DESPELDER ST., GRAND HAVEN, MI 49417
(616) 901-6967
Mailing address
120 S 5TH ST, GRAND HAVEN, MI 49417-1410
(616) 901-6967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
M227679
MI
Other
Enumeration date
07/14/2016
Last updated
08/17/2018
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