Individual
MR. JARED W HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2020 RAYBROOK ST SE STE 305, GRAND RAPIDS, MI 49546-7717
(616) 466-4947
Mailing address
2020 RAYBROOK ST SE STE 305, GRAND RAPIDS, MI 49546-7717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401019127
MI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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