Individual
MARY MILDRED VAN BONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
512 WASHINGTON AVE STE B, GRAND HAVEN, MI 49417-1455
(616) 209-9577
Mailing address
549 COLFAX AVE, GRAND HAVEN, MI 49417-1828
(616) 209-9577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016842
MI
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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